![]() Furthermore, only the member’s true out of pocket drug spend will be accumulated which average $5 to $10. Through our Variable Copay Program, the manufacturer coupon is maximized to cover the member’s copay and remaining dollars are also used to reduce the cost to the employer. This can include a copay, co-insurance, and/or deductible which is then accumulated to the member’s out of pocket even though they didn’t actually spend the money. Historically through these programs, the manufacture coupon will help cover a patient’s out of pocket expense. In response to pressure from The White House to lower drug costs, pharmaceutical companies have begun to offer more patient copay assistance programs to help patients afford their medications. The Southern Scripts Variable Copay Program maximizes manufacturer coupons offerings and provides both members and health plans “point of sale” savings. Southern Scripts has created a unique solution which combats the rising cost of brand and specialty medications. ![]() It is well published the country is expecting a projected increase of 48% in specialty drug spend by 2020 (James, 2018.) As a result, it is important to find a Prescription Benefit Manager (PBM) who can provide cost containment strategies for clients which are aligned at finding the lowest net cost for prescriptions. Specialty drug spend is a large concern for self-funded employer groups.
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