CASE STUDY — RETIREMENT COMMUNITY

6,400 COVERED LIVES ON THE PLAN

Client Profile

It may be surprising, but even health care industry clients such as nursing homes and long-term care facilities are looking for answers to control pharmaceutical costs while ensuring their employees receive the medications they need. True Rx Health Strategists partners with several clients within the health care industry. 

Their Challenge

One long-term care facility with 6,400 members was spending millions of dollars on pharmaceuticals, in particular, on specialty medications. They knew they needed big changes and it would require clear communications to their employees and in their reporting processes. 

In 2017, the average cost per prescription with their previous pharmacy benefits manager was $93.10.

Our Solution

In combination of no spread pricing and pass-through rebates, the company also chose patient advocacy for specialty medications. 

The Outcome

In 2020, the average cost per prescription is now $84.69.

  • $250,000

    in formulary savings.

  • $1,000,000

    in rebates passed on to the client.

  • $3,250,000

    savings from 2.8% of employees using a patient advocacy program.

  • $1,500,000

    through our no-spread savings.

  • $5.9 million

    in total savings.

The implementation process was well planned and went as smoothly as we could have hoped. True Rx was very proactive and prepared us for all the possible glitches.” – Senior Director of Benefits

Q: Where do you start?

Speak to one of our Health Strategists

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