Our solution empowers employees and cuts prescription costs by 15 – 40%
Prescryptive provides transparency, security and mobile convenience.
It’s simple.
Via mobile text alert,
members know:
This all happens in real-time, at the point of care. There is no app to download.
Where others may restrict choice and transparency, we embrace and extend it.
Prescryptive remains neutral on drug selection and volume: we do not profit from the sale or selection of drugs.
We pass on the savings to the consumer. This ensures we design and manage your plan as if it were our own.
Patients have more control and insight into their healthcare
- Members know the price, insurance coverage,
and out-of-pocket expenses in real time - We don’t force customers to use mail-order
pharmacies—for anything - 30, 60, and 90-day fills are available at all
in-network pharmacies
Design
Our formularies prioritize efficacy, safety, and net plan cost—in that order—and we will customize as appropriate to meet your specific needs at no additional cost.
Management
Our solution includes additional programs and services at no charge to help you maximize the value of your plan, and drive member engagement.
- Formulary adherence management
- Utilization management
- Annual plan savings analysis
- Opioid management
- Manufacturer co-pay assistance programs
Guarantees
Our commitment to transparency and customer choice redefines what a service provider should be.
Prescryptive will:
- Assume fiduciary oversight of your prescription drug benefit plan
- Retain your claims data and plan documentation in readily accessible format for audit
- Provide an annual credit to support your audit of our contract performance
Prescryptive Health vs.
Traditional Prescription Benefits Manager
 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 |
| Presonalized drug alternatives information |
✓ | x |
| Personalized shopping | ✓ | x |
| Overall satisfaction | ✓ | x |