Many interactions in the health care process result in prescriptions being written – and a patient trip to a pharmacy. And prescription drug costs are a large factor in the overall costs of benefit plans.
At H Zone / Clark & Lavey, we help you manage those costs through access to our Pharmacy Director and comprehensive Pharmacy Benefits Management. Among the services available are:
- Acting as a subject matter expert
- Advising with regard to pharmacy benefit programs
- Performing preliminary pharmacy benefit program analysis
- Negotiation of contract terms with new PBM or re-negotiation of current contract
- Oversight of new contract implementation
- Review of key prescription drug cost metrics and identify opportunities maximize pharmacy program efficiency
- Evaluation and reporting of PBM services and status of vendor performance guarantees
- Review and assessment of pharmacy benefit plan performance annually, including PBM performance evaluation and recommendations for benefit plan changes
- Providing ad hoc clinical support for employee appeals processes
- Monitoring PBM formulary management services
- Review of all user model programs and identification of opportunities for improvement
- Development and coordination of strategies with PBM to proactively encourage utilization of drugs that are in the best interest of plan participants
- Recommending and overseeing implementation of clinical initiatives, including prior authorization, step therapy and member education initiatives
- Delivery of pharmacy benefit related educational programs via conference calls or webinars
If you need PBM help, H Zone / Clark & Lavey has the right prescription.
Call: 866-707-9880 or Email Us
H Zone Benefits
