June 1, 2023
Since providers can’t be expected to know exact prescription costs for their patients, Premera is working with Rx Savings Solutions to give our members drug pricing transparency. The goal is to help improve patient outcomes while decreasing the total cost of care.
How Rx Savings Solutions works:
- Rx Savings Solutions uses software that layers on top of a patient’s existing pharmacy benefit and health insurance. It analyzes claims, formularies, plan designs, and networks to find lower-cost prescription drug options that are covered by the patient’s plan.
- Nearly 70% of savings opportunities result from clinical recommendations, such as therapeutic alternatives, dosage form changes, or generic substitutions and clones.
- Patients receive proactive notifications when there’s a more affordable, equally effective option for their prescription. They’re empowered to make the best decision for their health and budget.
What it means for providers:
Providers may be required to approve the switch to a lower-cost prescription. Pharmacy technicians with Rx Savings Solutions may also contact your office—via phone or fax—on behalf of patients to obtain an approval.
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