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ACI Drug Pricing Beats the PBM “Spread”

Dec 22, 2023 | Acquisition Cost Index (ACI) pricing, Cost Plus Pricing, Cost Savings, Drug costs, MedBen Rx, Pharmacy, Prescription, Rx Costs, Savings, Spread Pricing

Spread pricing is the difference between what pharmacy benefit managers (PBMs) charge health plans for drugs and what the pharmacy actually pays for them. Often, this “spread” can be substantial, as PBMs profit greatly from their lack of transparency… so it’s not...

Pharmacy Costs, Cancer Among Top Employer Considerations for 2024

Nov 28, 2023 | Cancer, Cost Savings, Mental Health, Pharmacy, Prescription, Savings, Survey, Transparency

A recent survey of large employers by the Business Group on Health revealed considerations that self-funded plans expect to focus on in the coming year, including: Pharmacy costs. High-priced drugs and overall pharmacy costs are a source of concern for over 90% of...

MedBen Rx Portal Helps Members Find Drugs at the Best Prices

Nov 24, 2023 | Cost Savings, MedBen Access, Member Prescription Portal, Mobile App, Online Services, Pharmacy, Prescription, Prescription Portal

In addition to the pharmacy solutions MedBen Rx provides to lower employer drug spend, plan members also have a great resource to help keep their prescription costs down. The MedBen Rx Prescription Portal, available through MedBen Access online or via our mobile app,...

Weight Loss Drugs Continue to Pressure Health Plan Costs

Nov 14, 2023 | Drug costs, Obesity, Pharmacy, Prescription, Wegovy, Weight loss, Zepbound

In light of all the attention that weight loss drugs have received lately – as well as the pricing havoc these drugs have been causing in some pharmacy plans – the following news items have caught our attention: North Carolina says its health plan will...

U.S. Employer Plan Premiums Increased 7% in 2023

Oct 31, 2023 | COVID-19, Dental, Medical, News, Pharmacy, Premiums, Prescription, Primary Care, Specialist, Telehealth, Vision

Average annual premiums for U.S. employer-sponsored single and family health insurance coverages both rose 7% in 2023, according to a survey conducted by KFF and published in Health Affairs. While the increase is higher than in recent years, it is generally in line...

A High-Value Approach to Lowering Rx Spend

Oct 30, 2023 | Appropriateness Solutions, Comparative Effectiveness, Drug costs, MedBen Rx, Pharmacy, Prescription, Research

MedBen Rx’s expanded pharmacy solutions offer a variety of ways to reduce your prescription drug spend… including appropriateness solutions that use clinical-based research to recommend the most effective drugs to your plan members. Comparative...
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