Who We Serve
Self-funded.
Carved-Out.
In Control.
RxBenefits offers tailored pharmacy plans for all self-funded employers and specialized solutions for unique industries.
You and your members deserve more from your pharmacy benefits.
Transparent contracts. Independent clinical management. Superior member service. You can give your members best-in-class pharmacy benefits without sacrificing quality or budget. It’s easier than it sounds—when you find the right partner.
All self-funded, carved-out employer groups, regardless of size, can chart a course to better benefits by taming drugflation and achieving lowest net cost, while still delivering on the needs of members.
Drugflation is the driving force behind your rapidly accelerating plan spend – at a pace that’s more than 2x the national rate of inflation.
Transparent contracts. Independent clinical management. Superior member service. You can give your members best-in-class pharmacy benefits without sacrificing quality or budget. It’s easier than it sounds—when you find the right partner.
All self-funded, carved-out employer groups, regardless of size, can chart a course to better benefits by taming drugflation and achieving lowest net cost, while still delivering on the needs of members.
Avoid dead ends and empty promises.
While the varied solutions to curb rising drug spend can be overwhelming – Carve-out? Join a coalition? Jump on the latest solution bandwagon? – none of these options alone will live up to your expectations of control over benefit management, generated savings, and improved member health and experience.
Your pharmacy benefits need a long-term strategy guided by experts and a partner who can deliver you a plan that achieves lowest net cost – the amount you pay for pharmacy net of rebates.
You, and employers like you, are uniquely positioned to harness the power of a pharmacy benefits optimizer (PBO) to design a plan that meets your organization’s needs.
Navigate your way to lowest net cost – and better benefits.
Leverage market-leading purchasing power of 3M members and $3B in annual pharmacy spend to secure a competitive pharmacy contract that rivals that of a Fortune 10 employer. Competitive rates and rebates, client-aligned contract terms, and industry-leading guarantees reconciled annually, deliver first-year savings of 25% on average, plus annual pricing improvements in the 10%+ range.
Prioritize your members’ well-being above all else. Trust clinical pharmacists to review the medical appropriateness of high-cost claims on behalf of your plan and members to ensure that the best medication to achieve the desired outcome is prescribed at the most affordable price. Independent clinical management programs operate with integrity – no profiting from the approval or denial of a prescription, nor retaining of rebates or collecting a dispensing fee.
Add a layer of risk mitigation with multi-year, laser-free catastrophic specialty claims protection, covering virtually all specialty conditions, which often reduces traditional stop-loss premiums. There is only one insurance product available to specifically indemnify your plan against medically appropriate but high-cost specialty claims – a must-have to protect your organization against the inevitable budget buster.
A partner for you and superior service for your members.
Access proactive, consultative advice from your dedicated account management team – and get all the data and insights you need – to make informed decisions.
Provide your members with personalized support via U.S.-based call centers, from compassionate representatives who are empowered to resolve member issues with a focus on solving problems comprehensively – not just ending phone calls quickly.
Your organization is unique, and you need pharmacy benefits solutions that match your needs.
Tailor pharmacy benefits to specific industry requirements, like 340B programs or Taft Hartley. Explore some of our industry specialized solutions:
