Specialty Care Program

• Our high-touch and personalized approach saves millions of dollars for our clients and members each year.

• Expertly written Summary Plan Description language designed to allow strategic management of specialty drugs while avoiding pitfalls of discrimination among individuals receiving patient assistance.

• Dedicated case managers provide members with a high level of support throughout the duration of specialty drug treatment.

Formulary Guard Program

• Our Formulary Guard Program is constantly at work behind-the-scenes to ensure medications processed for each client are both cost and therapeutically effective. 

•  This program continually monitors new drugs entering the market, new services being launched, and compounding pharmacy billing practices. It also ensures that appropriate prior authorizations, step therapies, and quantity limits are in place.

Potential to save over 70% on specialty drugs.

P&T committee meets weekly to ensure right drug, right price,

right time.

Prior authorization requests turned around in 24-48 hours.