Reduce your pharmacy costs by 15%-30%

Reduce pharmacy costs by an average of 15-25% by joining the NACo Rx Coalition

More than 30% of county employee health plan expenses are related to pharmacy benefits. NACo’s PBM Coalition, partnered with CVS Caremark—One of the largest PBMs in the nation—is the only plan specifically built for counties & county pools that manage self-insured health plans.

Leveraged Negotiation

Public agencies realize Rx pricing discounts of 15-25% through nationally pooled pricing agreements

Multi-Year Pricing

Strong multi-year pricing guarantees self-insured pools have budget stability without unexpected jumps in cost

Trusted Oversight

Trusted NACo leadership and oversight along with public sector peer review.

Retain Control

Full autonomy over your county’s Rx drug plan design & benefit programs

Mecklenburg County was faced with renewing under their direct contract for 2025. With the transition to our program, NACo evaluated their historical RX claims costs under their direct contract vs with NACo's PBM program. Projected 2025 savings is 28.1% ($7.5M).

Mecklenburg County
North Carolina

"One of the keys to NACo's long-term success is the ability to generate & leverage that bulk and buying power. So those economies of scale are much more significant for counties."

Eric Bryson

Executive Director, Montana Association of Counties

Let's Get Started

Our team of public sector benefit experts are here to assist your county save money on Rx drug costs.

Using the form below, contact us today to learn more about NACo Public Promise Insurance Solutions.

Program Contact

Alex Herrera
Managing Director
Public Promise Insurance
aherrera@naco.org