How can I reduce the cost of prescription benefits?

We take an integrated approach to reining in drug costs for both plan sponsors and members, and our results speak for themselves.

HOW WE HELP

THE PROBLEM

The U.S. spends more on prescription medications each year than the citizens of any other country. And that is unlikely to change. According to the Centers for Medicare & Medicaid Services (CMS), total retail spending on prescription drugs rose nearly 27% between 2012 and 2016, faster than all other categories of personal health care expenditures.

The high cost of prescription drugs is a burden on consumers, employers, taxpayers -- all of us. At MedImpact, we take an integrated approach to reining in drug costs for both plan sponsors and members, and it has been proven to be among the most successful in the industry.

9 %

Plan sponsors realize up to 9% savings using MedImpact Direct Specialty
$ 30 million

Savings from MedImpact’s High Cost Generics Program since 2015
$ 6.89 PMPM

Savings clients realized by switching to MedImpact’s Clinical Trend program from other PBMs

OUR RESULTS

This is where we come in.

Through advanced clinical services and innovative approaches to formulary management, we have helped plan sponsors gain control over their drug spend. Our prescription discount programs help members reduce out of pocket costs and save up to 80% on medications not covered by their plan.

Home delivery.

We work with mail-order pharmacies to help our plan sponsors select vendors and manage maintenance medications effectively.

Claims processing.

Our proprietary web-based eligibility and claims management system, MedAccess®, sets the standard for processing pharmacy claims.

Prescription discount card.

We think beyond traditional plan designs to help consumers lower out-of-pocket costs and save up to 80% on off-formulary medications.

Specialty management.

As specialty drug spending increases, MedImpact is delivering innovative strategies to help manage costs and improve member health.

Fraud, waste, and abuse.

MedImpact’s integrated bundle of analytic and clinical services empower plan sponsors to identify and combat fraud, waste, and abuse.

ON A MISSION

Connected care.

Every year, we invest hundreds of millions of dollars in technology, people, and solutions to make healthcare benefits more connected, personal, and affordable.