1st Amendment 11/17/2020 7.0Swq\\11
;a ' 111, Kevin Madok, CPA
s$,.
(' Clerk of the Circuit Court& Comptroller—Monroe County, Florida
DATE: November 25, 2020
TO: Bryan Cook, Director
Employee Services
ATTN: Natalie Maddox, Administrator
Employee Benefits
FROM: Pamela C. Hanc„k .C.
SUBJECT: November 17th BOCC Meeting
Attached is an electronic copy of the following item for your handling:
1.110 I" Amendment to the Contract with Capital Rx, the County's pharmacy provider,
expanding the scope of services and cost to include an additional configuration necessary to
establish electronic data feeds for benelit selection, claims management,and billing with the
Workday ERP software system currently being implemented by the office of the Clerk of the
Circuit Court and Comptroller, also changing the frequency for billing from biweekly to weekly.
Should you have any questions please feel free to contact me at (305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
FIRST AMENDMENT TO PHARMACY BENEFIT MANAGEMENT SERVICES
AGREEMENT BETWEEN MONROE COUNTY AND
CAPITAL FIX,INC.
This First Amendment to the Pharmacy Benefit Management Services Agreement dated January
1, 2021 ("Agreement"), is made and entered into this 17th'" day of November 2020, by and
between Monroe County, a political subdivision of the State of Florida, hereinafter referred to as
"County",and Capital Rx,Inc., hereinafter referred to as"Capital Rx"(collectively referred to as
the "Parties").
WHEREAS, on August 19, 2020, the Parties entered into the Agreement, by which Capital Rx
would provide the pharmacy benefits for members of the County's dental plan, effective January
1, 2021; and
WHEREAS, the price for services proposed by Capital Rx contained in the Agreement between
the County and Capital Rx was based on the expectation that the County would continue to utilize
a self-service benefits enrollment platform for employees,retirees and dependents that was created
and maintained by ClearTrack FIR, LLC / Selerix ("ClearTrack"), and that Capital Rx would
interface with the ClearTrack platform; and
WHEREAS,beginning with Plan Year/calendar year 2022,benefit selection,claims management
and billing for the pharmacy benefit program will be done through a Workday platform, rather
than through the ClearTrack platform; and
WHEREAS, the upcoming change to the ERP platform for benefit enrollment, claims
management and billing being developed by Workday, Inc. and Collaborative Solutions, LLC for
Plan Year (calendar year) 2022 will require Capital Rx to establish a data connection between
Capital Rx and the Workday platform (being implemented in conjunction with Collaborative
Solutions, LLC)(the "Project"); and
WHEREAS,the Project will require Capital Rx to provide additional services, which were not
contemplated at the time that Capital Rx submitted its proposal that led to the current Agreement;
and
WHEREAS, the work is required to commence immediately and Capital Rx shall continue to
participate in the Workday project according to the project timeline, and adhering to deadlines
throughout, in order for the County to launch the Workday software on or about July 2021; and
WHEREAS, Capital Rx has advised that the one-time cost of the additional services will be not
to exceed a fee of fifteen thousand dollars($15,000.00); and
WHEREAS,the Parties agree that they desire to compensate Capital Rx for the additional time
and effort necessary for coordination and implementation with the Workday platform; and
1
WHEREAS, Capital Rx has requested a change to the frequency by which Capital Rx delivers
invoices to the County for repayment, to change from biweekly invoices for claims and once per
month for administrative charges, to weekly delivery both for claims and administrative charges,
in order to minimize the time period between when Capital Rx has paid its providers(pharmacies
and pharmacists) for the claims, and the time when the County will reimburse Capital Rx for the
claims(up to 45 days, pursuant to the Florida Local Government Prompt Payment Act).
NOW THEREFORE, in consideration of the mutual promises contained herein, the parties
hereby agree as follows:
I. Schedule A, PBM Services, is amended to add a new paragraph 8,Workday Coordination
and Implementation,to read as follows:
8. WORKDAY COORDINATION AND IMPLEMENTATION
A. The goal of this portion of services is for Capital Rx to work with Collaborative
Solutions, LLC, Workday, Inc, the Monroe County Clerk of Courts, the Clerk's
consultant Berry Dunn McNeil & Parker, LLC ("Berry Dunn"), and other key
stakeholders in the Project,to establish successful electronic data feeds between Capital
Rx and Workday's ERP software,by which member information will be shared in order
to transact member eligibility, claims processing and billing for Monroe County's
_._. ____. pharmacy benefits plan.
B. Monroe County shall provide contact information for Workday and Collaborative
Solutions key contacts to Capital Rx, and shall provide all other such information as
necessary to facilitate communication with all of the Project stakeholders including but
not limited to Collaborative Solutions and Workday regarding the Project.
C. Capital Rx shall attend Collaborative Solutions and Workday project meetings.
D. Capital Rx shall designate an Implementation Team to work on the Project to assist in
establishing a data connection with Workday. At least one dedicated individual will
be identified by Capital Rx and assigned to the Project.
E. Capital Rx shall participate in testing of systems integrations, during Project meetings
and otherwise.
F. Time is of the essence on this Project. The current objective of the Project is to establish
successful data feeds by no later than July 2021. There are three phases for this Project:
(a) initial inputs, followed by testing: (b) revised inputs, followed by testing; (c) final
inputs,followed by testing. Monroe County shall provide key deadlines for the Project.
It is the responsibility of Capital Rx to allocate sufficient personnel to meet the key
deadlines.
2. A new paragraph 4.1 (a) is added under paragraph 4.1 (Payment for Services), to read as
follows:
(a) Payment for Services in Paragraph 8.1, Schedule A. For the services rendered as
described in Paragraph 8.1 within Schedule A to this Agreement,the County shall pay
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fifteen thousand dollars and no cents ($15,000.00). This contract sum is all inclusive;
no additional charges,including but not limited to travel,per diems,photocopying,etc.,
shall be allowed. This contract sum is based on the expectation of one hundred (100)
hours, at a blended hourly rate of one hundred fifty dollars ($150) per hour. This
payment shall be made as follows: five thousand dollars and no cents($5,000.00)upon
execution of this Amendment, five thousand dollars and no cents ($5,000.00) upon
successful testing of revised inputs;and the balance,up to five thousand dollars and no
cents ($5,000.00) upon successful establishment of an electronic data feed between
Capital Rx and Workday, as shown by five (5) successful tests, as certified both by
Capital Rx and Workday.
3. Section 4.2 of the Agremeent titled Invoices is amended as follows:The first sentence is
replaced with the following:
Capital Rx will invoice Sponsor for Claims on weekly,and for administrative fees
monthly,on a schedule conforming to Capital Rx's billing cycles. Claims invoices
include the Per Paid Claim administrative fees.
4. All other terms and conditions of the Agreement remain unchanged and in full force and
effect.
ay,. WITNESS WHEREOF, each party caused this Amendment to be executed by its duly
a '. ed.representative. Execution by the Contractor must be by a person with authority to bind
a 3 i�)
` v. BOARD OF COUNTY COMMISSIONERS
'��"� evin Madok, Clerk OF MONROE a • , ' a + ti
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By: � �/ r By:
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As Deputy Clerk Mayor _
Date L4- 17, 34 3-0 = a '
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CAPITAL RX, INC. N
Signature: GA...&/M." ..d..c
Approved as to form and content: Laura Alemzadeh
Monroe County Attorneys Office
Print Name:
„-zo-zozo Vice President of Legal
Cre—r.gat Title:
Vice
/16/2020
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