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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 Page 2 of 3 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 � 1 u By: � �/ r By: r 46 As Deputy Clerk Mayor _ Date L4- 17, 34 3-0 = a ' 0 c 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 Page 3 of 3