MedBen Rx Case Studies

Our experience in pharmacy benefits management helps us understand both the details and trends of the industry – focusing on how to improve your prescription benefits plan.

Case Study: Community Hospital with 530 Employees on Health Plan

MedBen Rx Alliance

The Hospital managed offer pharmacy benefits through a national pharmacy benefit manager. MedBen took over the management of the group’s health plan and explained that they qualified for additional pharmacy discounts that could be passed along to participating members of their employee health plan. MedBen guided the transition from their PBM to the Rx Alliance’s superior discounts. Pharmacy plan costs dropped from $1.1 million dollars to $842,000 after the savings plan was implemented. The group held their pharmacy benefits the same but took advantage of the Rx Alliance process to save 23% on their pharmacy costs.

Case Study: Community Hospital with 1,000 employees on Health Plan

MedBen Rx Alliance

The Hospital was encouraging employees and dependents on the health plan to use it’s in house pharmacy for the improved discounts but staffing, hours of operation, and convenience forced the group to allow employees to continue using traditional retail pharmacies, limiting the health plan’s potential for savings. Using software provided as part of the Rx Alliance, the hospital was able to dispense drugs at their “own use” discounts at the community pharmacy. The hospital immediately experienced a 10% drop in monthly pharmacy costs.

Case Study: 800 Employee Self Funded Health Plan

MedBen Rx Advocate

The group was with a transparent, pass-through pharmacy benefit manager and switched to MedBen Rx Advocate’s Acquisition Cost Index Pharmacy Services Administration program and saw ingredient cost for brand drugs drop by 36%. Through a combination of plan design changes and ingredient cost savings, company has seen a 34% drop in their monthly pharmacy spend through the first six months of the program.

Case Study: 91 Employee Self Funded Health Plan

MedBen Rx Advocate

The group offered a transparent, full pass-through pharmacy benefit manager and very strong generic dispensing rate at 85.7%. After implementing MedBen Rx Advocate’s Acquisition Cost Index Pharmacy Services Administration program, they experienced a 10.2% savings on drug ingredient cost with not change in benefit design.

Fast Facts

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Specialty drug cost increase in 2017

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Average MedBen client savings from the “cost plus” difference

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Generic Dispensing Rate for MedBen clients in 2017