SOLUTIONS | CASUALTY | WORKERS’ COMPENSATION | MANAGED CARE
Pharmacy solutions
Our approach puts the employee’s health and safety first.
What we do
Our pharmacy solutions work together to control costs and discontinue inappropriate and long-term drug use. Our collaborative program provides value by advocating for care that enhances recovery and addressing issues that may hinder progress or cause harm.
Our pharmacy solutions help ensure injured employees get the right medication at the right time.
Pharmacy utilization review
Our specialty pharmacy nurses, pharmacists and doctors provide pharmacy utilization review services at the point of sale and work to ensure prescribing patterns are in line with evidence-based guidelines.
Complex pharmacy management
Our complex pharmacy team identifies adverse drug trends, develops medication plan strategies, and can view and address all in network and out of network pharmacy transactions.
Pharmacy benefit management
In addition, our experts ensure regulatory changes, guidelines and other innovations specific to pharmacy care are integrated within the larger program. Our pharmacy benefit management solution combines an automated claim-specific formulary, utilization edits and aggressive workers’ compensation discounts.
Our program is restoring lives by helping injured employees achieve a safe, healthy recovery through intervention, weaning, pain management support and drug safety education.
Results
110,000+
opioid scripts avoided
33%
of prescriptions requiring utilization review were negotiated, denied or withdrawn
42%
lower morphine equivalent dosage
4:1
net return on investment
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