Partners

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 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:

believe their PBM’s business model is strongly aligned with their company and employees

say contracts are too complicated and favor the PBM

say that PBMs lack transparency about how they make money

would welcome an alternative to a rebate-driven 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.

Schedule a meeting or consultation.
We’ll take you through a demo of what we do.

Request a savings analysis.
Let us show you improvements we could make for your clients.

Seamless technology,
engaged members

MyRx.io, our mobile-first member experience, helps people take control of their health: Onboarding in a few clicks, text alerts, no app to download. An intuitive design and real-time information help members feel empowered.

Members said they would feel very or somewhat disappointed if they could no longer use MyRx.io.

2020 Prescryptive Health Member Satisfaction Survey

We’d love to show you more!

Let’s get started today.

Client satisfaction

Transition experience rating

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