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25 <br /> Slide#7 <br /> Cost Containment Strategy Considerations <br /> • RxSaveCard Monthly Surcharge for Spousal <br /> Require use of RxSaveCard for Coverage <br /> coverage of GLP-1 drugs for weight $200 per month surcharge if spouse has <br /> loss alternative coverage available <br /> Direct to consumer approach— Would applyto Employee+Spouse Plan and <br /> prescriptions received from Family Plan <br /> manufacturer by mail <br /> Employee receives$375 monthly 144 spouses currently enrolled in County <br /> health plan. <br /> allowance <br /> Drug costs below$375 per month NCHIP estimates 20%or 29 spouses would <br /> are returned to the County remain on County plan <br /> v$500,000 savings projected based Potential revenue increase to the plan <br /> on continued utilization -$64,000 <br /> May deter spousal migration to County plan <br /> Positive impact on employee costs from other coverage <br /> for most prescriptions <br /> - Avoids increased cost of spousal claims <br /> Slide #8 <br /> 1, <br /> RxSaveCard provides a direct-to- <br /> consumer relationship with GLP-9 drug <br /> RxSaveCard manufacturers,Lilly Direct and <br /> NovoCare <br /> CURRENT PHM RasayeCard Eliminates cost associated with the <br /> D.g Dose Isrrrded Psployee OlredPrlce OCSubsidy Employee pharmacy Benefits Manager(PBM) <br /> Insurance Price Monthly —thly <br /> iafter rebate) C-1(PPO) coat <br /> Wegovy(inj) all 5950 $25 $350 $375 s0 <br /> zephound(lnj) Inw 5850 $25 $299 $375 so Wegovy Injectable Example: <br /> Zepbound(inj) mid $850 $25 SM $375 $24 $950 per month=cost to current plan <br /> Zepbound(inj) high $850 $25 $449 S37$ $74 <br /> Wegovy(oW) Iow $= $25 $149 $375 $0 • $350 per month=cost direct-to- <br /> Wegovy(om1) mid sm $25 $24a $375 so consumerplan through RxSaveCard <br /> jweg.vY high ROD $25 $229 $375 $0 <br /> • $600 per month savings to County plan <br /> Reduces employee costs for most <br /> prescriptions from$25 per month to$0 <br /> with exception of Zepbound Injectable <br />