Controlling Costs
Without Sacrificing
Quality of Care

Game-Changing Drivers of Cost Containment Without Sacrificing Quality of Care

With over 30 years of experience managing pharmacy risk for health plans and self-insured employers, plus a contractual obligation to Fiduciary Standards and Transparency, US-Rx Care is the only entity in the pharmacy benefit industry that delivers on all needed qualities to effectively manage and protect plan risk.

Dedication to Clinical Rigor

Separation of dispensing/rebates from clinical functions

Independent, expert clinical management

Cost-effective step therapy, when appropriate

Elimination of waste

Sourcing at Lowest Available Cost

Copay and patient assistance programs

Flexibility to drive medication dispensing to the lowest net cost pharmacies

Site of care optimization for provider-administered drugs

The PBM Industry is Complicated

The industry’s traditional model opens up many opportunities for excessive profit margins, with employers bearing the brunt of increasing costs as a result.

Traditional PBM Chart

A Pioneer in Fiduciary Pharmacy Benefits Risk Management

US-Rx Care’s unwavering fiduciary commitment is a unique and a much needed differentiator among pharmacy benefit managers. By eliminating financial conflicts of interest, as well as a singular focus on delivering better outcomes and lower cost, we effectively mitigate plan risk for self-insured employers while also allowing employers to enrich their benefit.

Cost-Effective Sourcing

From manufacturer copay assistance savings to 340B price discounts, we always choose the lowest cost option without member disruption — including zero-cost options for plan sponsors and participants.

Pharmacy Advocate Program

Our proprietary technology monitors prescription claims and alerts prescribers and enrollees when lower-cost therapeutic equivalents are available, generating out-of-pocket savings of 30% or more on average.

Specialty Medication Management

Through a combination of clinical rigor, free of conflicts of interest, as well as always seeking the lowest cost dispensing options, our client’s spend on specialty medications is typically well below national average.

Schedule a meeting today to discover how you could save 30-50% on pharmacy spend in just 12 months — with no changes to benefit design.

Calculate Your Cost Savings Estimate

See how much you can save on pharmacy benefit cost when you partner with US-Rx Care.

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