Specialty Drugs Cost Reduction

What Can Our Pharmacy Benefits Manager (PBM) Do For Your Pharmacy Coverage As A Self-Insured Company?

Your PBM can make sure you’re getting all the benefits out of your prescription management solution. Our pharmacy network is extensive and offers national coverage and reliability as your company needs it.

With more than 60,000 participating pharmacies, the our pharmacy network includes every major pharmacy chain, as well as most regional chains and independent pharmacies. That means you can assure your employees have freedom of choice, enhanced discounts, and convenient access to the care and affordable solutions that they need.

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Which Types of Organizations Does Our PBM Work?

Phoenix Benefits Management, LLC is a first-in-class prescription benefits manager (PBM). We give brokers, TPAs, unions, employers, and consumers access to pharmaceutical plans that make sense and save money.

We’re challenging the status quo of pharmaceutical benefits programs. Customer service is at our core. Our team tracks every detail and requirement in this complicated industry. And we know that when you have better savings, better information, and better resources, you have better health outcomes.

Every organization and individual is unique, so every Phoenix pharmaceutical solution is individualized. We’ll work with you to customize a flexible, scalable solution, no matter how complicated your needs may be.

Bring us your challenges, requirements, and goals. We’ll give you objective counsel and access to the most suitable benefits. And we’ll remain dependable and proactive, even as your needs change. Call us whenever you need answers and resources to keep your program and your people healthy.

The Current Specilty National Drug Trends, What Can You Expect From Our PBM Services?

Specialty Drug Price Increases

Spending has almost doubled in the United States over 8 years.

Impact on Your Company

What % of your drug spend is from specialty drugs?

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How Can We Help?

We can reduce specialty drug cost up to 50%.

How Do We Save You Up To 50% On Your Specialty Drug Spend?

The Phoenix Specialty+ Program is a medication management prescription savings program for individuals in self-insured, partially self-funding and level premium medical plans seeking to reduce specialty and high cost brand drug claims spend up to 50%.

We achieve this by combining our prescription rebate program and advocacy program to drive the greatest savings possible to clients.

  • Our advocacy program works directly with the pharmaceutical manufacturers, foundations and grant programs to seek out ways to ensure your members are not only receiving their medication in a timely manner, but also receiving it at the lowest possible cost. Our in-house advocacy coordinator not only helps eligible individuals qualify, they also manage the entire process, including outcome communications back to the individual plans and member.

  • Our prescription rebate program provides alternative options on a specialty drug carve out or carve in platform. This methodology can provide guaranteed hard dollar savings as well as produce cash flow by way of Rx rebates and Rx replacement.

In addition, this program has been recognized by stop loss carriers and can lower stop loss premiums by up to 12% based on the number of high cost drugs in this program.

We work hard for our plans and for our members. When it comes to the rising cost of Specialty medications, rely on Phoenix to provide innovative and custom-tailored programs to help your organization thrive.