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Innovative solutions. Proven results. The Rx Concierge Program focuses on controlling cost by driving appropriate utilization of medications while ensuring members are benefiting from clinically appropriate therapies. |
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2021 Rx Concierge: |
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At a Glance |
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$2,844 Average Savings per Converted Drug |
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156K Covered Members |
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Over 3.5 Million Pharmacy Claims Analyzed |
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2,340 Members with a Converted Prescription |
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$5.5M in total Rx Savings |
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| In 2021, a municipality with 2,900 members exceeded their guarantee by over $188K. This resulted in a 209% return on investment and a net savings of over $5 per member per month. | ||||
Comprehensive Savings Strategies
| Our comprehensive savings strategies yield guaranteed results. Your dedicated Rx Concierge team looks at a multitude of opportunities, such as: |
Targeted Drug Classes |
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| The following drug classes are potential targets for the Rx Concierge Program. Based on shifting marketplace dynamics, other cost-savings opportunities will arise and our strategies may change. | ||||
| • Multi-source brands • High-cost generics • Dose efficiency • Dosage form optimization • Channel optimization • Specialty Rx • Polypharmacy review |
• ADHD Stimulants • Inhaled Steroid Combinations • Nasal Steroids • Neuropathic Pain • Diabetes Medications • Statins |
• Urinary Antispasmodics • Proton Pump Inhibitors • Anaphylaxis • Antidepressants • Oral Antipsychotics |
2020/2021 Proven Savings: Mitigating Rx Trend
| Employer groups enrolled in Rx Concierge experienced a 4.8% Pharmacy Trend in 2021 compared to 7.7% for groups that were not enrolled. Also stark was the difference in diabetes and attention disorders trend. |  |
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Our Performance Guarantee
Lifetime Benefit Solutions guarantees clinical savings higher than the PMPM program fee
or we will refund the difference.
| By providing you with a dedicated in-house team of pharmacists, your pharmacy claims utilization is analyzed to identify cost-savings opportunities. Your dedicated team contacts the prescribing physician to request a change to a lower cost but clinically appropriate option. |  |
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Process Overview |
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Physician Detailing | ||||
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Identify Opportunities | Analyze the group’s pharmacy claims utilization to identify cost savings opportunities, appropriate medication use, non-adherence concerns or medication safety issues. | ||||
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Physician Outreach | A dedicated pharmacy team will contact prescribers to request a prescription change to a lower cost and clinically appropriate option, or address a gap in care. | ||||
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Realize Savings | By controlling costs with savings opportunities, groups will have increased savings through these personalized experiences with impactful results. | ||||
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To learn more about how our Rx Concierge Program helps your organization, submit a Pharmacy request for a quote. |
Lifetime Benefit Solutions is part of The Lifetime Healthcare Companies, a not-for-profit holding company that finances and delivers health care services.