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Part 4: Getting More
From Your Pharmacy Benefits

We’re committed to making prescriptions
more affordable for you and your members.

That’s why we work hard every day to take the unnecessary costs out of pharmacy benefits. To that end, we’ve reinvented pharmacy benefit management to work smarter to deliver real savings and improve health. Our modern, alternative solution leverages a powerful PBM engine is built on a:

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With this engine in place, ordinary PBM tools such as utilization management, formulary and networks perform at a higher level to improve health more effectively and generate even more savings.

Transformative Pass-Through Approach
▶ Receive 100% of all discounts and rebates that we secure on your behalf
▶ Get unrestricted visibility down to the claim level for better tracking and monitoring
▶ Experience lower drug trend, decreased PMPM expenses and reduced costs

Lowest-Net-Cost Philosophy
▶ Get a high performance drug mix (i.e. low cost generics, less expensive brands) that consistently delivers the lowest net cost and reduces PMPM expenses
▶ Achieve substantial rebates without paying more with our low AWP starting point

Outstanding Clinical Care
▶ Receive real time, personalized support for members via the latest in multi-channel engagement
▶ Get best-in-class care with our use of evidence-based guidelines combined with our ability to leverage pharmacist and prescriber relationships to deliver meaningful interventions
▶ Experience improved outcomes with robust member support to promote adherence and close gaps in care

pbj_PBM tools perform better

 

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    Part 5: What It's Like to Work With Us!