Pharmacy benefit costs can be reduced through proactive management and ongoing oversight. Our in-house clinical initiatives help identify and address avoidable expenses, improving overall efficiency and value. These efforts help our membership avoid millions of dollars in pharmacy expenses each year.
Savings Strategies That Work
Keep dental and medical benefit costs covered under their own benefit plans.
This ensures that drugs are billed appropriately.
Differentiate medical devices from drugs covered.
Medical devices are not approved by the FDA drug approval process and they may be able to be purchased on a direct basis for a fraction of the cost billed to insurance.
Design your plan to replace high cost products with lower cost alternatives.
This helps reduce overall pharmacy spend while maintaining access to appropriate therapy options.
Remove pharmacy service providers that employ questionable antics.
A pulse on claims helps react swiftly to fraudulent, wasteful, or abusive behavior by a practitioner or pharmacy.
“Our team of on-staff pharmacists is another factor that sets us apart from the competition. Their drive to provide top-notch benefits to participants while saving employers money knows no bounds”
-Deb Thomsen, VP of Coalition Development
Do not cover medical foods.
They are not approved by the FDA as drugs and do not require a prescription.
Encourage the use of authorized generic drugs.
Authorized generics are identical in all aspects to their brand name counterpart.
Strategies That See Results
While adoption of these strategies is voluntary, they are widely implemented and have resulted in significant savings for our members.
National CooperativeRx’s in-house clinical programs are no additional cost to our membership. Contact your National CooperativeRx Account Representative to learn more about our available programs.
