Recommendations
As optional, value-added point programs, PCM Recommendations support plan cost containment and clinical support strategies.
Market Check
With PCM Pharmacy Savings, plans contain costs by engaging physicians to switch participants from high-cost to low-cost drugs.
- Lowest cost switches
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Specialty identification
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Proactive participant engagement
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Validated PMPM savings
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Full-suite reporting
The Pharmacy Savings Process
PCM does the work. Your plan sees measurable, long-term pharmacy savings.
Identify low-cost Rx alternatives.
Engage physicians.
Gain participant approval.
Facilitate Rx fill.
Participant Engagement
PCM’s team of Licensed pharmacists and certified pharmacy techs make navigating pharmacy care simple:
- Personalized pharmacy education
- Proactive outreach on savings opportunities
- Lower out-of-pocket costs
- Expert guidance for improved clinical outcomes
Plan Savings
PCM Pharmacy Savings helps plan sponsors and participants lower prescription drug costs at the source:
- No plan changes required
- Quick implementation
- Limited HR workload
- Minimal participant disruption
- Lower patient copays
See where your money is going.
Click to request a complimentary PCM Pharmacy Savings analysis.
Cost Containment
Engage participants and providers to act on high-cost drugs. Our dedicated support team is here to do the heavy lifting.
- Flexible implementation
- Comprehensive reporting
- Measurable PMPM savings
- Interactive management platform
- Consolidated claims
Alternate Funding
- No plan changes
- $0 participant co-pay
- High case approval rates
- Lower specialty spend
International Rx
- No medication changes
- Direct to participant shipping
- Automatic Rx identification
- Low participant disruption
Rx Tourism
- 5-star facilities
- Full-service concierge
- Locked-in rates
- Up to 70% savings
Build a supplemental pharmacy and medical benefit program to optimize your benefits strategy.
- A la carte model
- Flexible service levels
- Customized integrations
- In-house engagement
- Program validation
Built to Suit
With customized program integrations, PCM helps you build a plan-specific program.
Clinical Review
Targeted solutions focused on balancing clinical outcomes and costs to prioritize participant health.
- Patient-focused care
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Reduced medical costs
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More pharmacy savings
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Improved treatment outcomes
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Participant engagement
Specialty Review
Treatment of complex conditions can be costly. Specialty Review allows plans to manage financial costs and improve health outcomes one person at a time.
- Model-based care management
- Personalized specialty drug treatment
- Reduced out-of-pocket spend
What is Specialty Review?
Utilizing real-world evidence, Specialty Review is a model-based care management solution that drives personalized specialty treatment. This, in turn, provides your participants with:
Individualized Care Planning
Specialty plans tailored to
meet participant needs.
Hassle-Free Implementation
Easy, anytime implementation with limited participant disruption.
Precision PGx
Based on drug-gene interaction, PGx identifies a participant’s metabolic rate which encourages doctors and patients to make informed decisions, resulting in:
- Reduced medical costs
- Improved participant health
- Expanding panels
- Complete participant privacy
- Enhanced drug efficacy
The PGx Process
Reduce medical costs and enhance drug efficacy with a simple oral swab.
PCM identifies participants who may benefit from PGx testing. Participants receive a simple oral swab to complete at home.
Tests are processed and the results send directly to the participant using secure HIPAA guidelines
Participants can discuss results with a medical professional via telemedicine or with their primary care provider.
Would PGx work for my group?
Improve participant health and save money. Click to learn more.