Helping You Solve Pharmacy Benefits Challenges Today While Getting You Ready for Tomorrow
RxBenefits partners with benefits advisors/brokers to help mid-market self-funded employers save significant dollars on pharmacy benefits, lower their risk of catastrophic specialty claims, enhance the health and safety of members, and provide a world-class benefits experience.
Big-Company Leverage in the Hands of Mid-Market Plan Sponsors
Our flagship solution – preferred by 80% of our clients – handles every aspect of the pharmacy benefits process, from initial contract negotiations to ongoing plan support and exceptional client and member service. RxBenefits wields the purchasing power of a Fortune 10 company, attracting the attention of the nation’s leading PBMs who actively compete in our marketplace for our clients’ business. As a result of this negotiating power, we’re able to deliver 12-month contracts with market-leading pricing and transparent, client-aligned terms. Clients see average first-year savings of 20% or more, with an additional 10% year over year. Optimize 360 offers the perfect combination of savings, exceptional service, and proven, consistent results.
So next time you think you don’t have the size, scale, or expertise to demand what you need and deserve from the PBMs, know that’s okay. You can always borrow ours.
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Independent Clinical Oversight and Intervention for Better Outcomes
To ensure a healthy bottom line and the health and safety of their employees, an employer needs a pharmacy benefits partner who’s focused solely on doing what’s in the best interest of the plan and its employees – not making decisions that drive profits for the PBM. RxBenefits independent team of licensed PharmD’s operates free from influence by any PBM or carrier to ensure members always get the safest, most clinically appropriate, and cost-effective medication for their condition. Leveraging chart notes and medical records, along with well-established clinical best practice and guidelines, they make independent prior authorization decisions that ensure the best of care at the lowest possible cost. This team provides broad oversight of the plan, while focusing on the plan’s most vulnerable members with the most expensive medications.
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Tailored Support Aligned with the Needs And Resources of Hospitals and Health Systems
Healthcare clients have unique needs and requirements regarding pharmacy benefits. RxBenefits leverages our expertise in working with 200+ hospitals and healthcare providers to create tailored solutions that maximize your 340B program and your in-house pharmacy. We have decades of experience in designing client-aligned contracts to help you understand and avoid the common (and not-so-common) pitfalls, and our hospital-focused account management and award-winning member service teams deliver peace of mind for you and your members.
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Preferred Patient Solutions
Specialty medications account for just two percent of overall drug usage, but 50% (and rising) of the total pharmacy benefit cost. RxBenefits preferred Patient Financial Assistance solutions help companies provide needed specialty medications to their employees while remaining fiscally responsible. Combined with Protect, this proprietary suite of clinical oversight programs, Patient Assistance solutions help employers save money by tapping into available assistance dollars to provide members access to appropriately prescribed, high-cost specialty medications.
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A New Solution for Surviving Catastrophic Specialty Claims
The growing challenge of large and catastrophic specialty pharmacy claims calls for a new, innovative solution. Offered through our sister company and sold through licensed advisors, RxPharmacy Assurance is pharmacy-only stop-loss insurance to provide added protection above and beyond traditional stop-loss coverage, so employers never have to worry about the danger of a very high-cost specialty drug claim threatening their financial health.
Visit RxPharmacyAssurance.com