Monroe County Amends Pharmacy Benefit Contract With Capital Rx

Monroe County approved a Fourth Amendment to its pharmacy benefit management services agreement with Capital Rx, maintaining a fee-for-service model and updating pricing logic to incorporate 340B rebates, lowest-of-pricing for retail pharmacies, and the Mark Cuban cost plus program. The amended agreement runs through December 31, 2026 with a total contract value of $3.6 million funded primarily by Ad Valorem revenues.

Scope & details

The full contract record, as filed.

Contract amount

$3,600,000.00

Contract type

PROFESSIONAL_SERVICES

Contract term

01/01/2016 – 12/31/2026

Renewal date

2026-12-31

Renewal

Fourth Amendment (effective within overall 01/01/2016–12/31/2026 term) updates naming and pricing logic but keeps the agreement as a 100% fee-for-service administrative fee contract. Prior approvals include a three-year agreement in August 2020, a third amendment adding a 2-year management services term, and multiple annual EGWP pricing approvals.

Document type

Agreement

Source document

County of Monroe Agreement Fourth Amendment to Pharmacy Benefit Management Services Agreement 2026-08-19

Related contracts

Other contracts from Capital Rx.

View all →

Monroe County Agenda Board of County Commissioners Meeting 2026-08-19

AMENDED

Monroe County, FloridaAug 13, 2026

Johnson County Board of County Commissioners Annotated Agenda Minutes 2026-08-13

PENDING

Johnson County, KansasAug 13, 2026

Missoula County Public Schools Agenda 2026-08-11

DISCUSSed

Missoula Elementary School District, MontanaAug 8, 2026

Missoula County Public Schools Proposal Bridged Health Alliance 2026-07-23

PENDING

Missoula High School District, MontanaJul 23, 2026

Upper Merion Area Board of School Directors Agreement Custodial, Building and Turf Maintenance Agreement 2026-2029

ONGOING

Upper Merion Area SD, PennsylvaniaJul 1, 2026

Frequently asked questions

Common questions about this contract, answered from the record.

Who was awarded the professional services contract by Monroe County?

Capital Rx was awarded this professional services contract by Monroe County, as recorded on August 14, 2026. The contract value is $3,600,000.00.

How much is the Capital Rx contract with Monroe County worth?

The Capital Rx contract with Monroe County is valued at $3,600,000.00, covering professional services work.

What type of contract is this?

This is a Professional Services contract, documented as a agreement record.

Where was this contract approved?

This contract appears in County of Monroe Agreement Fourth Amendment to Pharmacy Benefit Management Services Agreement 2026-08-19 (Agreement), dated August 14, 2026 from Monroe County. Civic IQ extracts contract records directly from agency meeting documents and solicitations.

What other contracts does Capital Rx hold?

Capital Rx may hold additional government contracts. View their full contract history, the agencies they serve, and total tracked spend on their Civic IQ vendor profile.

View Capital Rx's profile

What is Monroe County currently buying?

Explore Monroe County's vendors, signed contracts, and active RFPs on their Civic IQ agency profile.

View Monroe County's profile