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Managing Pharmacy Cost

Pharmacy cost management begins with how you build your plan—the cost-share structure and clinical solutions that incent and support plan participants in making cost-effective choices about how and where to fill prescriptions.

Organizations that achieve a Best-in-Class pharmacy trend take a proactive approach. They evaluate their plans on a regular basis and use predictive analytics to model and implement designs that will help them reach their goals—greater utilization of generics, better control of diabetes or curbing specialty spend. We support our clients’ needs with innovative and flexible pharmacy benefit designs, including plans that are evidence-based, consumer-directed and generics-focused.

Plans use our evidence-based clinical solutions to promote safety and better use of savings and health opportunities. Our earlier and broader clinical interventions provide a series of safety nets to help detect and prevent many potentially costly medication safety issues, including duplication of therapy and drug interactions. With proactive pharmacy care, plans have more ways to proactively engage consumers and prescribers to promote the use of clinically appropriate generics and preferred brands as well as help reduce unnecessary drug costs. Clinical management can also help consumers understand the importance of adherence to therapy, help slow the natural progression of disease and proactively identify early risks to help reduce long-term cost.

How Proactive Pharmacy Care Can Help

Prescription Channels
Our retail network, mail service pharmacy, online support

Generics
Proactive consumer engagement for optimal use of generics

  • 1 CVS Caremark 2007 Book of Business Best in Class data