Bring a better solution to the table with Prescryptive Health
There’s a better way to empower your clients looking for pharmacy benefits: our transformative, no-compromise PBM model.
WHY PARTNERS LOVE US
Health intelligence platform
Our secure, HIPAA-compliant platform connects benefit plan information, the patient, and the provider, all at the point of care, enabling better, more informed health decisions.
Transformative pricing and an all-inclusive model
We don’t profit from drug sales. Our model is simple: all-inclusive fee, transparent pricing, 100% pass-through of rebates, no hidden fees.
Guarantees and accountability
We assume fiduciary oversight of the plan, which means we are contractually obligated to act in our clients’ best interests. We put our fees at risk to meet aggressive financial guarantees.
The traditional PBM model is broken for employers:
ONLY 1/3
believe their PBM’s business model is strongly aligned with their company and employees
6 OUT OF 10
say contracts are too complicated and favor the PBM
NEARLY 2/3
say that PBMs lack transparency about how they make money
7 OUT OF 10
would welcome an alternative to a rebate-driven PBM approach to managing pharmacy benefit costs
Pharmacy Benefit Management, March 9, 2018
A no-compromise model for pharmacy benefits
For a fixed PMPM fee, employers get the core services:
- Direct connection to over 50,000 pharmacies in our national network, including specialty and mail order
- Flexible formulary and plan design
- Real-time claims processing
- Prior authorization administration
- Drug utilization management
- Rebate management and payment processing
- Populate out of pocket accumulators
- Ongoing account management services
- Unlimited access to plan performance and analytics
Without the usual games:
- Rebate-chasing with overpriced brand drugs, unnecessary drug inclusions, and bait and switch formulary changes
- Spread-pricing and hidden fees
- Mail order pharmacy requirements
- Profiting from the sale or selection of drugs
- Selling your data
Ready to engage?
Here are a few ways to take the next step:
Submit your request for proposal.
We’ll reach out promptly to participate in your process.
Request a savings analysis.
Let us show you improvements we could make for your clients.
OUR LATEST NEWS
9 out of 10
Members said they would feel very or somewhat disappointed if they could no longer use Prescryptive
2020 Prescryptive Health Member Satisfaction Survey
100%
Client satisfaction
9.7 / 10
Transition experience rating
100
2021 NPS score
Prescryptive Health vs. Traditional PBM’s
 Prescryptive Health |
 Traditional PBM |
|
| Profit from drug sale, selection, transactions, or rebate fees | No | Yes |
| Drug pricing | Actual price (vs. average), published to members |
Not published |
| Rebates | 100% pass through | Retains excess rebates (above guarantees) |
| Administrative fee | Fixed, per member per month – all inclusive, no hidden fees or extra charges |
Varies and not all inclusive; extra fees & charges app |
| Prescryptive Health |
Traditional PBM |
|
| Fiduciary oversight | ✓ | x |
| Price & rebate pass through guarantees |
✓ (with penalties paid to customer) |
x |
| External reviews | ✓ | x |
| Annual audit offset | ✓ | x |
| Prescryptive Health |
Traditional PBM |
|
| Criteria | 1. Efficacy 2. Safety 3. Net plan cost |
1. Rebates 2. Efficacy 3. Safety |
| Customization | ✓ (flexible design to meet customer needs) |
Limited (depends on rebates) |
| Prescryptive Health |
Traditional PBM |
|
| Benefit design assistance | ✓ | Additional cost |
| Prior authorizations | ✓ | Additional cost |
| Appeals | ✓ | Additional cost |
| Manual claims processing | ✓ | Additional cost |
| Concurrent drug utilization review (CDUR) |
✓ | Additional cost |
| Prescryptive Health |
Traditional PBM |
|
| Custom & ad-hoc reporting | ✓ | Additional cost |
| Utilization management | ✓ | x |
| Annual plan savings analysis | ✓ | x |
| Opioid management | ✓ | x |
| Specialty pharmacy copay savings programs | ✓ | x |
| Prescryptive Health |
Traditional PBM |
|
| Real-time text alerts | ✓ | x |
| Personalized cost & options | ✓ | x |
| Personalized drug alternatives information |
✓ | x |
| Personalized shopping | ✓ | x |
| Overall satisfaction | ✓ | x |