HomeMy WebLinkAboutR 2017-528-E HR - Envision Pharmaceutical Services, LLC for pharmacy benefits DocuSign Envelope ID:E8C538EF-9595-4E36-A4C9-2CA66C7BE34A
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Envision Pharmaceutical Services, LLC. Party/Vendor Contact Person: Lisa Venn Contact
Phone: 330-405-8089 Party/Vendor Address: 2181 E. Aurora Road, Suite 201 City Twinsburg State: OH Zip:
44087 Department: Amount: $9,179,000.00 Purpose: Pharmacy Benefit Management Services Agreement
Budget Code(s): 70395220/999990 Vendor#64731 (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑ No0 Contract Type: (Check one) New 0 Renewal ❑ Amendment ❑ Effective Date July 1, 2017
Approved by Board Yes 2 No ❑ Agenda Date: April 6,2017
This agreement is approved as to to nic49f ma co tent:
bruA,A barttotookuv 8/28/2017
Department Director's Signature ,2„FF Date:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficient q'h s /o "d0 tallndards,specifications, and requirements:
attsa, C,ortAkftb 9/18/2017
Office of the Risk Management Officer 7FncF9176800498 Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
rl A" 2art, 9/27/2017
Office of the Chief Financial Officer 71)4F5181ACC1409 Date:
Legal Services
This agreement is approved as to e m fIb P lefi1 sufficiency:
MO 9/27/2017
Office of the County Attorney 079A4D525C0F4FB... Date:
Clerk to the Board
Received for record retention:
All DocuSign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov
The following signature block is for hard copies only and is not required for DocuSign contracts:
Office of the Clerk to the Board Date: