Bluebook Rx Provides:
Formulary Optimization:
To determine which medications represent the best value for members, we set a value benchmark by comparing the list of covered drugs with clinical data.
Benefit Plan Design:
The traditional co-pay model driven by the manufacturer -- high co-pay for brand, low co-pay for generic -- actually penalizes members who use high-value drugs and incents use of more expensive, low-value drugs. To ensure that all members have access to the medications they need, we partner with our clients to assess their benefit plan and remove barriers to high-value medications by aligning cost-share with clinical value rather than with the manufacturer or pharmacy channel.
Full Spend Analysis, including the Assessment of Specialty Medications/ High-Cost Claims:
Specialty medications are high-cost drugs that treat multiple conditions or have complex treatment pathways.
These high-priority claims require additional data points, such as the diagnosis code and treatment history, that enable us to appropriately assess the member’s current treatment experience and outline a savings strategies for specialty drug spend.
Bluebook Rx Outcomes
10-30% savings on pharmacy spend Minimal disruption to members Improved clinical efficacy
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