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RxBenefits’ Preferred Financial Assistance Solutions: A key component of RxBenefits’ specialty drug management strategy. Read the news.

Solutions

  • Solutions Overview
  • Optimize 360
  • Optimize Direct
  • RxBenefits Protect
  • RxBenefits Preferred Financial Assistance Solutions
  • RxPharmacy Assurance
  • Diabetes Support Program

Who We Serve

  • Benefit Advisors
  • Mid-Market Employers
  • Hospitals & Health Systems
  • Third-Party Administrators
  • Private Equity

Content Hub

  • Hospital & Health Systems
  • School Districts & Municipalities
  • Transportation & Logistics
  • Carve Out
  • Clinical / Utilization Management
  • Pharmacy Trends
  • Benefit Plan Design
  • Contract Best Practices

Company

  • About RxBenefits
  • Pharmacy Benefits Optimizer (PBO)
  • Leadership
  • Culture & Careers
  • News

Members

  • Contact Us
  • Prior Authorization Form
  • Member Resources
  • Employer Resources

Slide

Slide The employee benefit industry’s first Pharmacy Benefits Optimizer (PBO), RxBenefits is a different kind of pharmacy partner. We are not a PBM, TPA, or coalition. Our pharmacy experts work independently of the Big Pharma machine to help our employee benefit consultant partners and their self-insured employer clients navigate the complex pharmacy benefits landscape. We act as advocates to help brokers and consultants deliver market competitive pharmacy solutions from the nation’s three leading PBMs, regardless of their client’s size. Working with a PBO, they can consistently offer a best-in-class pharmacy benefit that will immediately drive down prescription drug costs, improve member health and safety, and transform the client and member experience for the better.

First 3 Our team of pharmacy experts act as the consultant’s consultant, advocating in the best financial interest of your self-insured employer clients and the best health interest of their members.

With a PBO, you have access to RxBenefits’ core solutions designed for self-insured employers with a carved-out pharmacy benefit. Leveraging our market-leading aggregate purchasing power, you’ll secure competitive rates, rebates, and contract terms from the industry’s leading PBMs. Independent clinical oversight strategies driven by advanced data modeling will improve utilization management and eliminate waste, with minimal member disruption.

The result is an intelligent, data-driven pharmacy benefits plan tailored to ensure appropriate and sustainable prescription drug spending. With a PBO on your side, you can bridge the sizeable gap in value that exists when your clients’ pharmacy plan is managed elsewhere.
Elevating Consultants Empowering Employers
Second 2 Unlike contracting directly with a PBM, a PBO makes it possible for self-insured employers of any size to buy pharmacy benefits with the same robust negotiating power as a Fortune 100 company.

As an HR leader working with a PBO, you can expect to deliver a best-in-class pharmacy benefit experience for 25-30%* less than you are paying today. You can finally achieve what feels like competing objectives: substantial savings without disrupting members, plus excellent service for your employees and their dependents.

Whether you have 250 or 25,000 employees, our teams empower you with the data you need to make informed decisions and provide the high-touch service you and your members deserve. Helping leaders like you achieve your organization’s pharmacy benefits goals is at the heart of our PBO mission.
Elevating Consultants Empowering Employers

Slide check_box_outline_blank check The PBO relationship is managed through the employee benefits broker, consultant, or third-party administrator (TPA), who works with RxBenefits to deliver: A client-friendly pharmacy contract with clear language and competitive pricing and rebate terms A data-driven clinical approach focused on appropriate utilization and best-practice solutions that reduce plan costs with minimal member disruption A high-touch, personalized service experience that values the needs of brokers, clients, and members check_box_outline_blank check_box_outline_blank check check

Slide In today’s high stakes economy, small and mid-size employers find themselves competing against the Big Pharma machine as they struggle to maintain affordable benefits for their employees. It’s time to consider a new kind of pharmacy partner.

Let RxBenefits help you achieve something extraordinary.
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