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Integrated prescription drug program
Our cross-functional team of medical and pharmacy experts ensure our care solutions are cost-effective and comprehensive. You get a unified customer and member experience, improved management of your employees’ health, and lower total cost of care when you add prescription drug benefits to your Independence health plan. Additionally, you get the capabilities of a top-tier pharmacy benefits manager (PBM) plus the power of integrated benefits.
MEMBERS
Prescription drug program features
We’ve implemented features that are designed to promote easy acess, cost-effectiveness and comprehensive care.
• Mail order/home delivery is available for certain maintenance medications with free shipping. Members may save money by getting 90-day fills of their medication at Rite Aid for the same cost-share as mail order/home delivery.
• Low-cost generic medications are available at a reduced cost-sharing of $3. Members can find a list of these medications on the Value Formulary on ibxcom.
PreCheck MyScript
• Formulary management includes drugs based upon medical effectiveness, safety, and value.
• Integrated data enables better utilization and clinical management, delivering an improved and holistic experience for you and your employees.
In-network doctors can access the information they need, when they need it, with PreCheck MyScript. This digital tool makes it easier for doctors to focus on patient care and improves medication adherence. They can:
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• View a member’s prescription drug benefits and easily determine the most affordable cost-share
• Access information on lower-cost alternatives for high-cost medications when available
• Review prior authorization requirements before prescribing medication and select a different medication when possible or initiate the prior authorization
DOCTORS PHARMACISTS
NURSES DATA ANALYSTS