What steps is your business taking to tackle the rising cost of prescription drugs?
According to a recent study by KFF, about three in ten consumers said they haven’t taken their medicine as prescribed due to costs.
The steady rise in prescription drug prices places a significant financial burden on individuals, families and employers. As drug costs continue to outpace inflation, they consume a larger portion of healthcare budgets, straining personal finances and organizational resources.
In this blog, we will explore some innovative solutions employers can put in place to control drug costs for their employees and business.
Controlling Your Healthcare Plan Drug Costs
Employers can explore several innovative solutions to effectively control prescription drug costs while maintaining quality care for their employees. Some of these solutions include:
Pharmaceutical Benefit Management (PBM) Solutions
A PBM is a specialized service provider that helps manage and optimize prescription drug benefits within an employer's health plan. Partnering with a PBM can provide access to advanced analytics, formulary optimization and favorable pricing arrangements with drug manufacturers and pharmacies. PBMs can also implement utilization management programs, such as prior authorization, step therapy and quantity limits to ensure appropriate use of high-cost medications.
Direct Contracting with Pharmacy Networks
Employers can explore direct contracting arrangements with pharmacy networks or pharmacy benefit administrators to negotiate discounted drug prices, transparent pricing models and administrative fees. Direct contracting allows employers to bypass traditional methods and achieve greater control over prescription drug costs and benefit design.
Pharmacy Carve-Out
A pharmacy carve-out involves removing pharmacy benefits from your overall health plan and outsourcing the management to a dedicated pharmacy benefit provider. Pharmacy carve-outs offer greater flexibility in benefit design, access to specialized clinical programs and opportunities for cost savings through targeted management of prescription drug spending.
Control Your Prescription Drugs Costs with Blue Ocean Benefits and Consulting.
Employers can partner with an employee benefits expert, such as Blue Ocean, to navigate the complexities of prescription drug benefits and identify innovative solutions tailored to their specific needs and objectives.
Our team of experts brings our specialized knowledge, industry experience and access to market insights to help you design, implement and optimize your prescription drug benefits effectively.
By leveraging benefits expertise, you can gain valuable guidance on selecting the right pharmacy benefit management strategies, negotiating competitive pricing arrangements and maximizing the value of their employee benefits investment.