BenMedica helps its clients save money by providing doctors with actionable information at the point-of-prescribing. We partner with health plans, employers, health benefit consultants, and Pharmacy Benefit Managers (PBMs) to improve formulary data and provide better information to physicians.
When physicians have access to information like copay, coverage restrictions, and drug alternatives, they can make more informed decisions resulting in medication choices their patients can afford. This increases the use of preferred medications and in-network pharmacies, lowering drug spending for all stakeholders.
We have a proven track record of $12 per member per year savings. In addition, our latest enhancements for drug messaging estimate a projected savings of up to $88 per member per year based on just 8 therapeutic areas.
Health Plans: Optimize Your Drug Cost Management
Health plans who provide basic, unenhanced formulary data to physicians are missing significant prescription savings opportunities. By working with BenMedica to improve formulary data, health plans enable doctors to make cost-effective prescription decisions and select medications that fit their patients’ needs.
Employers: Reduce Medication Costs for You and Your Employees
Employers can drive down prescription costs by partnering with BenMedica to ensure that actionable drug and coverage information reaches physicians during prescribing. A big factor in providing your employees with effective prescription coverage is ensuring that their providers have access to information that identifies affordable drugs. Providing physicians with the information they need, when they need it, allows them to make the most cost-effective medication decisions and empowers your employees to remain on therapy and live healthier, more productive lives.
Health Benefit Consultants: Help Your Clients Lower Prescription Spending
Health and pharmacy benefit consultants can help their clients reduce prescription spending by partnering with BenMedica. We work with health benefit consultants to analyze claims data and identify savings opportunities for the health plans they serve. By conveying the right information at the right time to physicians, your clients can realize significant savings and improve outcomes for their members.
Pharmacy Benefit Managers: Enhance Data for Increased Savings
BenMedica partners with PBMs to enhance the formulary data health plans send to prescribers through electronic health records and to ensure that alternatives are consistent between Formulary and Benefit and Real-Time Prescription Benefit data. By facilitating increased prescriber access to actionable information, PBMs can help their clients reduce spending on non-preferred prescriptions and out-of-network pharmacies.
With BenMedica, your health plans can also improve their Healthcare Effectiveness Data and Information Set (HEDIS) score and Medicare Part D Star Ratings, ultimately leading to higher reimbursement, better outcomes, and lower costs for everyone.
To date, we’ve supported over 15 million lives and are utilized by numerous BlueCross BlueShield plans, Centene, and EnvolveRx.
We also have direct connections with CVS Caremark and Prime Therapeutics.
Getting Started with BenMedica
Our experienced team is equipped with the knowledge and tools to tackle trends, pinpoint solutions, and optimize results over time. We simplify the ePrescribing process so that physicians and patients can navigate their prescription options and choose the best medications for their needs.