One of the best ways to ensure your client is in a competitive pharmacy benefits arrangement is to request an up-to-date market check. Our no-cost analysis provides deep insights into 10 crucial areas of your client’s current contract and plan performance.
First, a high-level overview of how the current contract and pricing arrangement compares to one or more available plans from RxBenefits so you can quickly determine if there is potential to do better.
Now, let’s really dig in! Here are the current contractual terms compared to RxBenefits’ available contractual terms. That means we show you every fee, discount, and rebate amount available for an apples-to-apples comparison.
Your client has a plan in place that members are accustomed to using. We examine that plan and can typically work with any plan design or show models of new plan designs to help your client achieve their goals.
Next, we’ll show you how each claim included in the analysis was categorized by the incumbent and how those same claims would be categorized under one of our plans, including details like Generic Dispensing Rate and Mail Order Utilization Rate.
We’re transparent about the formulary shakeups that can occur when your client chooses a pharmacy benefits plan. In this section, you’ll find details about script disruptions, drugs moving from covered to non-covered, and distinct impacted members.
In addition to better contract and pricing terms, managing trend requires clinical oversight and optimization. This section identifies ways in which our Clinical Advantage Programs can take waste out of the plan and create more value for employers and members.
Clinical Savings Summary
This section summarizes how our Clinical Advantage Programs, overseen by an inhouse team of registered pharamcists, can deliver deeper savings and create more value for employers and members.
This section shows you the net financial impact of individual components of our Clinical Advantage Program after fees are paid, so you can understand the true ROI potential.
While minimal, there is sure to be some member disruption when implementing clinical programs. To help your client determine if they’re comfortable with that, this section displays member and script disruptions by program component.
See a list of the top 20 high dollar medications currently utilized by your client's members so you can help them evaluate the impact and their tolerance for disruption.
We’re transparent about the formulary shakeups that can occur when your client chooses a pharmacy benefits plan. In this section, you’ll find details about script disruptions, drugs moving from covered to non-covered, and distinct impacted members.Request a No-Cost Analysis