CASE STUDY
CHALLENGE
A southern municipality with 400 members struggled to manage its pharmacy budget, which exceeded $900,000 annually, or $252 per member per month (PMPM) cost. The situation was further complicated by the municipality’s current arrangement with a large national carrier, which offered limited visibility and management options for their pharmacy spending.
VERUSRx INSIGHT
Upon reviewing the claims, VerusRx noticed that 3.5% of their total claims cost the plan more than $730,000 annually, equivalent to $156 PMPM accounting for most of their overall pharmacy budget.
SOLUTION
The municipality partnered with VerusRx to develop a whole-pharmacy solution that offers competitive rates, improved rebates, clear contract terms, innovative funding options, and enhanced clinical strategies. To tackle rising costs from specific claims, the client implemented VerusPath, which allows qualified members to explore various funding options.
VerusRx stands out as the only independent provider with its own patient assistance company. The VerusPath approach emphasizes proactive communication, enabling customization to meet specific client needs. This strategy led to lowering out-of-pocket costs for members, overall savings for the healthcare plan, and increased satisfaction.
At VerusRx, we champion the cause of our clients and their members by delivering true pricing, bold solutions, and unsurpassed service.
THE IM PACT OF
Learn how VerusRx’s tailored approach delivers significant results.
