United Benefit Advisors Insight and Analysis Blog

Solving the Prescription Puzzle

Posted by: Mary Delaney, MSPT, CWP    Jan 24, 2017 9:30:00 AM

Determining how an employer develops the most effective formulary, while protecting the financial stability of the plan, is certainly the challenge of this decade. Prescription management used to mean monitoring that the right people are taking medications to control their disease while creating strategies to move them from brand name to generic medications. With the dawn of specialty medications, formulary management has become a game of maximizing the pass-through of rebates, creating the best prior authorization strategies and tiering of benefits to create some barrier to more expensive medications, all without becoming too disruptive.

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Topics: UBA Health Plan Survey, multi-tier prescription drug plans, prescription drug cost, Vital Incite, mail order drug benefits, health care cost containment, disease management, Mary Delaney, prescription management