How Pharmacy Benefit Dimensions® Works
There are many components to the pharmacy system, and we play a role at every level to better manage each element for you and your employees.
Formulary Management
Together, we will work with you to develop a list of covered drugs and tiers.
- Focus is on highest quality, lowest net cost rather than highest rebate
- Formulary options with flexibility to meet your employees needs
- Clinical evidence-based decision making
- Independent Pharmacy and Therapeutics Committee (P&T)
Pricing
Our flexible pricing models help deliver exceptional value and deep discounts.
- Transparent or traditional pricing models
- Full visibility into Rx costs and savings opportunities
- Complete transparency of all administrative fees
- Aggressive pricing on generic drugs – MAC (Maximum Allowable Cost)
- Industry-leading, brand-name drug discounts
- Competitive specialty drug discounts
- Cost-effective mail order alternatives
- Over 300 direct pharmaceutical contracts
Clinical Programs and Reporting
By monitoring prescription usage, we help identify the lowest cost, most-effective therapy to treat conditions.
- Right drug, right dose, right price
- Industry-leading Drug Utilization Review (helping to improve safety and reduce misuse of prescription drugs)
- Most cost-effective drugs (generic vs. brand)
- Maximum daily dose (appropriate dosage based on FDA)
- Prior authorization
- Appropriate refills at the point of dispensing
- Step therapy
- Therapy duplications (redundant drug usage)
- Medication Therapy Management
- Reliance Rx Specialty Pharmacy, RELI-Rx integrated clinical mangement program
- Specialty Savings Program significantly redues member copay and employer spend on certain specialty drugs
Plan Sponsor
We deliver solutions to maximize your cost savings and enhance clinical effectiveness while exceeding customer expectations through exceptional service. You’ll benefit from our:
- Consultative team of pharmacists, account managers and financial analysts dedicated to your accounts.
- Significant experience in implementing cost and care programs with employers.
- Biweekly newsletters and industry updates to keep you aware of changing trends.
Member
Our member-centric service model provides more value and satisfaction for your employees.
- State-of-the-art technology
- Custom communication materials
- Industry leading member services team (95% overall customer satisfaction)*
- Online account access and claims review
*2023 Pharmacist Satisfaction Survey/2023 Pharmacy Benefit Dimensions Employer & Member Satisfaction/Stakeholder Survey
Pharmacy
We work with pharmacies to negotiate deep discounts and manage communications, offering greater control over decisions that influence both costs and quality medical outcomes.
- Pharmacy Portal: Streamlining communication between our team and participating pharmacies by providing easy access to valuable information and resources
- State-of-the-art claims processing
- Claims are submitted in real time and are HIPAA compliant
- Own our pharmacy network, national network of 63,000 pharmacies in all 50 states
- 24/7 help desk to respond to pharmacy inquiries