Pharmacy Benefit Insights

If your group is using a level-funded plan there are several ways to manage prescription drug costs while maintaining critical access.

Many stop-loss plans can set individual deductibles for high-risk members, and one pricey claim can impact cash flow and plan costs.

Many rebate contracts stipulate payments after a wait sometimes 180 days after the payable quarter which can create cash flow challenges.

Retail drug pricing begins with what is called the MAC (Maximum Allowable Cost), this is a ceiling cost on most generic medications. For...