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.
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.
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.
Explore the Latest News and Resources from US-Rx Care
The IRS has significantly reduced the group plan affordability threshold — which is used to...
A new report by Aon warns employers to expect average group health insurance costs to increase...
If you are running a business, you need to get an early start on preparations for your small group...