REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
December 16, 2025
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Contract with Ramsell Corporation for Pharmacy Benefit Manager Services
End
RECOMMENDATION(S)
Recommendation
Approve contract with Ramsell Corporation, for the provision of Pharmacy Benefit Manager services for countywide prescription management, in an amount not to exceed $750,000, for the contract period of January 1, 2026 through December 31, 2030.
(Presenter: Gayani DeSilva, Medical Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The amount not to exceed $750,000 for Pharmacy Benefit Manager (PBM) services will be funded by 1991 Realignment and the Mental/Behavioral Health Services Act funds. Adequate appropriation and revenue have been included in the Department of Behavioral Health's (DBH) 2025-26 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substance use disorder (SUD) services to San Bernardino County (County) residents experiencing severe mental illness and/or SUD. DBH has provided countywide PBM services through contracted vendors since 2003. The PBM program provides prescription management services for DBH to clients who are unfunded, receive medications not reimbursed under the Medi-Cal program or other third-party insurance, and/or are pending Medi-Cal eligibility. Prescriptions are typically given for a 30-day supply during clients' monthly appointments. The PBM program allows DBH to gather all unfunded client pharmaceutical data and provide regular monthly reporting of the usage and costs ...
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