Pharmacy Solutions

Prescription drug benefits costs are rising at double-digit rates each year. While there are many factors contributing to these increases, the most prominent are the availability of expensive specialty drugs, AWP price inflation and an aging population.

There are a number of ways we work with clients to help lower their pharmacy spend such as:


 • Programs to promote generic utilization such as educational mailings, use of generics as first line of therapy, and copay incentives can lower costs and control rising trends.

• Programs to promote use of formulary products and lower cost

alternatives

• Prior authorization, step therapy, quantity limits, dose optimization and other clinical edits

• Establishing appropriate copays and educate employees about mail order service

• Therapeutic equivalent and formulary analysis

• Perform an audit of self-funded employers pharmacy claims