Formulary Management

The Problem with the PBM Only Model


Are you concerned that you and your PBM may have misaligned incentives?

The PBM-only business model allows for the PBM to make money in a number of ways, including Pharmacy Rebates, Spread Pricing, Administrative Fees, Dispensing Fees, Brand Rebates, etc.

When setting up an employer’s formulary document and choosing which drugs to cover in the plan the PBM may, at times, be influenced by their relationship with the pharmaceutical companies, or their revenue model.


How do you meet the challenge of ensuring access to medications proven safe and effective while at the same time providing cost control?







Evidence-based pharmacy risk management directly meets the challenge of ensuring access to medications proven safe & effective while providing cost control.









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How It Works



Formulary Management Analysis

PLAN PAID RX SPEND

$10,787,134

PLAN SAVINGS

$1,451,063

TOTAL PLAN SAVINGS PERCENTAGE

13%

ESTIMATED MEMBER SAVINGS

$261,191

METHODOLOGY
The information provided in this analysis represents a comparison of actual PBM claim data against our evidence-based research of over 1,500 drugs in nearly 70 classes and sub-classes of drugs*

*The clinical research is the result of a joint collaberative with the UAMS College of Pharmacy.

GREATEST SAVINGS

BY DRUG CLASS



A good plan starts with knowing where you are today. RxResults can turn your data into actionable insight with a Pharmacy Risk Analysis.



Results Matter

You

What's in it for you?

You want your employees to live better, feel better, and be happy. RxResults can provide your employees and their family the resources, support, and motivation to save significantly on their out of pocket Rx spend.
Employees

What's in it for your employees?

A clear understanding of their medications and their options fosters a healthy culture that starts with the individual. Our unique user-experience and personalized small step approach creates a pathway to better health by identifying member needs and wants based on their direct input.

...and the savings isn't bad either!


Download the Formulary Management Brochure


RxResults MemberChoice

A Different Way to Implement Formulary Management

RxResults offers the MemberChoice solution that can be implemented with no disruption and will save your plan 3-5% of your total pharmacy costs.

Keeping good employees happy and productive may be the first priority for the employer’s human resources department. Furthermore, human resources or benefits departments are looking for ways to save money for the employer with little or no disruption to members.

Key MemberChoice Benefits

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Points and Rewards

The member is incentivized through a points system that provides gift cards and other merchandise in exchange for reward points. This is managed through an on-line portal and call center available to the member.
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Low Out-of-Pocket Cost and Happy Members

The plan sponsor benefits through lower costs in pharmacy spend, and higher member satisfaction with the program. Rather than carrying a big stick to force change, the plan sponsor offers incentives to bring about change.

Real Life Member Examples