What is a Pharmacy Carve-Out?
A pharmacy carve-out is a Rx prescription cost management strategy where prescription drug benefits are separated (or "carved out") from a broader health insurance plan. This means that a specialized vendor or a separate benefit manager oversees the pharmacy benefits independently from other medical benefits. When the right PBM is introduced, clients can instantly save 30% on related expenses.
Why Consider a Pharmacy Carve-Out?
Specialized Management: Carve-outs allow for the specialized management of pharmacy benefits, often leading to more effective and efficient drug benefit programs.
Cost Control: By focusing on pharmaceuticals, carve-outs can help control drug spending and negotiate better pricing with manufacturers and pharmacies. Our savings come from the 100% transparent process of our PBM network passing their savings directly to you.
Enhanced Patient Care: Specialized management can lead to better drug choices and improved patient outcomes.
Customized Benefits: Employers can tailor drug benefits to meet the specific needs of their employee population.
Did you know that you can terminate nearly all PBM contracts early?
The PBM Audit Process
1
Rx Cost Analysis
Our team goes to work fast by analyzing Rx prescription costs you've paid to determine exactly where you will save money if you choose to move forward with a pharmacy carve-out. Within 30 days, we'll present you with our findings and expected savings.
2
Implement The Carve-Out
You remain in control throughout the entire audit process. This means that it is 100% your decision to move forward with obtaining the savings uncovered. If you like saving money, then we'll oversee the implementation of your new plan to ensure your services don't skip a beat.
3
Monitor Rx Cost Savings
After a flawless implementation, our team will report on your realized savings compared to our estimates prior to executing the pharmacy carve-out. In most cases, these realized savings are greater than anticipated.
How Much Does a Pharmacy Carve-Out Cost?
It is 100% free to engage in an Rx audit to uncover all of the cost savings opportunities your organization can obtain.
Our fees are a small percentage of your realized savings. In other words, you are guaranteed to pay less than you do today with all expenses accounted for. This transparent process keeps you in the drivers seat, allowing you to make the decisions that are best for your organization with the findings our experts deliver.