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Self-Funded Employers
As a trusted strategic partner to you and your employee benefits broker, we serve as an impartial advocate to help maximize your pharmacy benefit investment through lowered drug costs and improved member health outcomes. While we can serve clients of most any size, our typical employer clients are national or international and self-funded with at least 1,500 employees.
We understand that prescription drugs are one of the most complex aspects of employee benefits. We can help you and your members better understand your benefits and gain more transparency into what you’re paying for. We find savings because we know what to look for and where to look. And we know how to ensure discounts, rebates and other manufacturer-derived revenues pass through to the ultimate funders of employee health care — the employers — instead of to the PBMs’ profit margins.
Through the PBM RFP process, we will do the heavy lifting and manage the PBM vendor for you and your broker. Our pharmacists and clinical experts also facilitate the process of pharmacy claims surveillance and medical claims surveillance to ensure the health and safety of your plan members while proactively monitoring your organization’s financial risk.
Benefits Brokers
We partner independently with any benefits broker to bring the expertise of our pharmacists and clinical strategists to one client — or your entire book of business. Our experts analyze client PBM contracts and pharmacy and medical claims so you can better inform your clients about their plan performance and savings opportunities.
No other independent pharmacy benefits consulting firm offers the same level of proficiency across the pharmacy, PBM and health care industries as Innovative Rx Strategies. With expert knowledge from having worked within the pharmaceutical supply chain, we are committed to one mission — breaking down a complex industry to manage your clients’ pharmacy cost trends.
We will do the heavy lifting through the PBM RFP process and manage the PBM vendor. Our pharmacists and clinical experts also facilitate the process of pharmacy claims surveillance and medical claims surveillance to ensure the health and safety of your clients’ members while proactively monitoring the organization’s financial risk.
Third-Party Administrators
We will help grow your business through client retention and new client acquisition. Better inform your clients about their savings opportunities by letting our experts help you analyze client PBM contracts and pharmacy and medical claims. Our insights provide the data you need to get your clients the best renewals possible.
Our team is highly experienced at customizing solutions that fit the needs of each plan sponsor. Utilizing analytics and our clinical and financial expertise, we provide you and your clients with complete transparency into program performance and future risk, so you can make the most strategic decisions possible.
Additionally, through the PBM RFP process, we will do the heavy lifting and manage the PBM vendor for you and your clients. Our pharmacists and clinical experts also facilitate the process of pharmacy claims surveillance and medical claims surveillance to ensure the health and safety of plan members while proactively monitoring each organization’s financial risk.
Health Care Systems and Hospitals
As former hospital pharmacy leaders and front-line pharmacists, we understand how to work alongside your hospital executives, pharmacy managers and clinicians. We understand your employees are likely high utilizers of and well-educated about their benefits — and expect the best benefits at the most reasonable cost.
Our experts analyze PBM contracts and pharmacy and medical claims so you are better informed about savings opportunities and leverage your resources as effectively as possible. Beyond contract negotiations, our clinical innovations have often driven 7-figure pricing improvements.
Solutions are customized to your system’s business needs and your member demographics. Some programs have included specialty drug split fill programs that prevented 90-day fills of high-cost drugs with a high potential for abandonment and adding dispense-as-written penalties within the contract terms for drugs with generic equivalents.
Health Plans
We understand your employees are likely high utilizers of and well-educated about their benefits and expect the best benefits at the most reasonable cost. We’re uniquely positioned to help you gain more transparency into what you’re paying for and optimizing those costs so you’re realizing the greatest value for your investment.
Utilizing analytics and our unmatched pharmacy, clinical and financial expertise, we find savings because we know what to look for and where to look. And we know how to ensure discounts, rebates and other manufacturer-derived revenues pass through to the ultimate funders of employee health care — employers like you — instead of to the PBMs’ profit margins.
