Our Program
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- Our Program
- We work with the member to dramatically minimize specialty drug cost.
- High cost drugs are routed to our dedicated advocacy team.
- Our dedicated advocacy team will explore the possibility of obtaining various options for alternative sourcing.
- We will make it simple for the member and manage all coordination necessary between the doctor, the pharmaceutical companies, the pharmacies, and the member
HOW IT WORKS
All specialty medications will require a prior authorization. Most high dollar medications will need to be processed and filled by our preferred vendor.
Please follow the next steps to ensure that the prior authorization and medication is expedited properly.
Please follow the next steps to ensure that the prior authorization and medication is expedited properly.
NEXT STEPS
Step 1
As soon as your doctor prescribes a high dollar medication, reach out to our advocacy team.
Step 2
A designated Patient Advocate will walk you through the next steps of the program.
COVERAGE & SAVINGS EXAMPLES
Therapy classes that are typically excluded
- Fertility medications
- Erectile Dysfunction medications - as low as $5* per month
- Weight Loss medications - as low as $10* per month
Coverage within chronic disease states
- 18 generic diabetes medications with an average monthly cost of $10 or less - Metformin 500mg - less than $6* per month
- Over 20 cholesterol medications with an average monthly cost of $10 or less - Generic Lipitor as low as $4* per month
Not ready to have a baby?
- This program covers over 20 birth control products with an average monthly cost of less than $25*