Reducing Specialty Cost with our Preferred Financial Assistance Solutions
RxBenefits’ Preferred Financial Assistance solutions help members get the medications they need at the lowest possible cost, and save money for plan sponsors.
Whether it’s a high-cost specialty medication or lower-cost generic, we’re always looking for ways to help members – and plans– save.
Manufacturer Copay Assistance Solutions
Mitigating the cost of pricey specialty drugs to help patients get the medication they need
Drug manufacturers can help members afford the drugs they need by offering copay assistance — the manufacturer covers all or part of the member’s deductible and copay at the pharmacy counter.
Manufacturer copay assistance solutions are available through all three of the leading pharmacy benefit managers (PBMs). RxBenefits helps benefit consultants and their clients get the most out of these programs, by minimizing member out-of-pocket costs for expensive specialty drugs.
Preferred Patient Assistance Solution
Easing the burden of high-cost specialty drugs
Expensive specialty medications pose a challenge for plan sponsors struggling to balance cost and member access and the impacts can go beyond the bottom line resulting in employee dissatisfaction and poor health outcomes. RxBenefits’ Preferred Patient Assistance solution* is part of a multifaceted approach to help lower costs for both members and employers. It helps members find, and apply for, alternative sources of funding for high-cost drugs through drug manufacturers.
When used in tandem with RxBenefits Protect, our proprietary suite of clinical management programs, it can help reduce waste within many employers’ pharmacy plans, mitigate the impact of high-cost specialty drugs to improve outcomes and provide a superior member experience.
*Eligibility for Preferred Patient Assistance solution is determined by member income.
Is Preferred Patient Assistance Solution Right for Your Client’s Pharmacy Plan?
Every client and every plan is different, and there’s no single solution to managing specialty drug costs. Let one of our pharmacy benefits experts run a complimentary analysis to see if your client’s plan could benefit from our Preferred Patient Assistance solution and help you find the best path forward for your client and their members.
Integrated Point-of-Sale Discount Programs
Seamless savings at the pharmacy counter
Even non-specialty drugs can come with a hefty price tag. With integrated point-of-sale discount programs, members simply need to present their plan ID card at the pharmacy to receive the best available price for non-specialty generic medications, while preserving plan benefits and maintaining clinical oversight.
Seamless Member Experience at the Pharmacy
Our point-of-sale discount program works behind the scenes with no action required by the member other than utilizing their current ID card.
Get a Lower Cost Without Added Steps
Low prices for many commonly prescribed, non-specialty generic drugs without needing to shop around
Automatically Links to the Benefit Plan
Claim applies to member deductible and out of pocket automatically, —no need for manual paperwork.
Independent Clinical Management Remains Intact
Member health is prioritized with safety and formulary checks of the claim.
Preserves Plan Benefit and Reinforces Value
A simple way for plan sponsors to provide added value at no added cost to the member, while preserving plan design
Remember, while each program can contribute to a comprehensive solution to managing prescription drug costs, none can replace the value of a transparent, client-aligned contract and independent clinical management
