4 tips for better drug plan management

Published Updated 1 Min Read

Make sure you have a good contract. Make sure it’s renegotiated because price points in the drug market change annually. “That’s [about] being a good steward and a good fiduciary to the plan,” says David Dross, who leads Mercer’s managed pharmacy practice. “Make sure the contract is updated and current.”

“However you do it, whether it’s through flat copays or through coinsurance, make sure you’re managing that cost share,” says Dross. According to the PBMI report, the overall member cost-sharing percentage was 24% in 2012, compared with 25% in 2011. Consistent with previous years, member cost-sharing is highest for the retail-30 channel, at 29% and lowest for specialty pharmacies at 16%.


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