Integrated pharmacy benefits yield savings opportunities
Integrated pharmacy benefits yield savings opportunities
Blue Cross partners with Prime Therapeutics to provide its pharmacy program. We manage pharmacy benefits as an investment, balancing cost, control, quality, health and disease management outcomes. Our integrated approach creates cost-saving opportunities.
With Blue Cross Pharmacy Solutions, your clients achieve cost-savings as a result of our:
- Competitive network pricing
- Significant manufacturer discounts
- Ability to influence drug utilization and mix
- Increased administrative efficiencies
- Pharmacy options
- Benefit design analysis
- Claims processing
- Clinical and medication management programs
- Drug utilization review
- Multiple formulary development and management
- Mail service
- Manufacturer discount contracting and administration
- Generic drug incentive programs
- Network management
- Employer-specific reporting
- Specialty drug benefit program
- Options Blue consumer-directed programs
- Advantages of integrated pharmacy benefits
- Integrated data is analyzed to identify which health conditions are affecting employees
- A combined pharmacy and medical account team ensures pharmacy management decisions align with overall business objectives. This means examining everything from benefit design to drug utilization review, from care support to disease management
- We reach out to employees with chronic conditions, such as asthma, diabetes, and cardiovascular disease. Results have shown dramatic savings and health improvement rates when employees with “core” conditions like these receive intervention
- The winning formula for savings
Because Blue Cross works closely with Prime Therapeutics, we are uniquely positioned to control drug utilization (the number of scripts) and drug mix (the type of drugs used). These two components of the drug cost equation generate the greatest costs.
Your clients and their employees will appreciate the simplicity and convenience of integrated benefits. Only Blue Cross offers this level of administrative ease:
- One ID card employees use at the pharmacy and the provider
- One phone number to call for medical and pharmacy customer service
- Consolidated administration and billing saves on processing time and expense
- Automated “crossover” claims administration simplifies coordination with a flexible spending account or consumer-driven health care plan
- Combined tracking of deductibles and maximums makes it easier to administer plan limits