Recommendations

As optional, value-added point programs, PCM Recommendations support plan cost containment and clinical support strategies.

PCM Pharmacy Savings

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With PCM Pharmacy Savings, plans contain costs by engaging physicians to switch participants from high-cost to low-cost drugs.

  • Lowest cost switches
  • Specialty identification

  • Proactive participant engagement

  • Validated PMPM savings

  • 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

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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

3

Targeted solutions focused on balancing clinical outcomes and costs to prioritize participant health.

  • Patient-focused care
  • Reduced medical costs

  • More pharmacy savings

  • Improved treatment outcomes

  • 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.

See how PCM supports you.

Ready to learn more?

PCM provides the visibility, insights, and tools you need. Want proof? Click here to schedule a demo.

Complete the form below. A member of our team will be in touch shortly.

Call 1-800-281-7050
Fax 1-855-296-3933
Email sales@pcmsavings.com

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