Our self-funded client’s prescription drug costs were increasing, and we needed to get ahead of the curve to help them keep their costs down. One way to do this is a carve-out program for high-cost medications and specialty meds.
Plan year is 6/1 and YTD savings through 11/30 have been; employer $408,000 and members $29,000
Containing Program Costs:
With healthcare costs on the rise and particularly prescription drugs/specialty medications, it was imperative we found a way for our client to save on projected future costs. Members are spending more money on prescriptions and sometimes forgoing them due to the high cost of the medication.