Is Mail Service Pharmacy Cost Beneficial to Plan Sponsors?

The objective of this study was to describe and compare prescription drug costs charged to a plan sponsor for the top 50 maintenance medications provided through retail and mail service procurement channels. Data were obtained for covered beneficiaries of a health plan sponsored by an employer with...

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Bibliographic Details
Main Authors: Larisa Vulakh (Author), Albert I. Wertheimer (Author)
Format: Book
Published: University of Minnesota Libraries Publishing, 2011-01-01T00:00:00Z.
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Summary:The objective of this study was to describe and compare prescription drug costs charged to a plan sponsor for the top 50 maintenance medications provided through retail and mail service procurement channels. Data were obtained for covered beneficiaries of a health plan sponsored by an employer with just over 3,000 covered employees The analytics team at the PBM administering the plan sponsor's prescription drug benefit provided de-identified claims information for the top 50 maintenance prescription drugs delivered through either mail service or retail procurement methods for this employer over a one year period (7/1/2008 to 6/30/2009). Based on these data, (1) dollar amount difference (mail service minus retail), and (2) percentage difference between mail and retail costs (as a percentage of the lower net cost per day) were computed. The findings revealed that 76 percent of the medication products studied were associated with a lower net cost per day to the plan sponsor through mail service procurement and 24 percent were associated with lower net cost through retail procurement.   Type: Original Research
Item Description:10.24926/iip.v2i2.227
2155-0417