Coalition Member Benefits

Every Coalition Member that joins the Coalition will experience ongoing savings and benefits from the Coalition’s work on behalf of all Coalition Members, including the following free services for every Coalition Member:

  • A “Set-Up Audit” immediately after each Coalition Member’s implementation – to ensure the PBM accurately inputs your Benefit Plan Design
  • Monthly monitoring by our experts of a complete set of your prescription claims data, which we have contractually bound the PBM to transmit with every Invoice to your Health Plan and to our Coalition experts
  • Monthly and quarterly meetings between our experts and the PBM to discuss and improve (i) the pricing of new-to-market Generic Drugs; (ii) the pricing of new-to-market Specialty Drugs, (iii) changes in your Formulary; and (iv) any other matter that may impact your costs and benefits
  • Regular follow up conference calls to individual Coalition Members to discuss potential ways to decrease and better control their costs
  • Annual audits by our expert audit team to verify the PBM’s satisfaction of contract pricing terms and guarantees
  • Annual meetings between our experts, the PBM and each Coalition Member to recommend Benefit Design improvements (new Savings Programs to consider, changes in protocols of existing Savings Programs, new recommended quantity limits to impose, Formulary customization, etc.)
  • Annual renegotiations conducted by our Coalition experts with the PBM to improve the contract’s pricing terms and guarantees to ensure that all such terms remain competitive
  • Regular and ongoing conference calls with other Coalition Members to share collective insights and “Best Practices”
  • Regular and ongoing conference calls and “alerts” from our Coalition experts to inform all Coalition Members of new prescription drug challenges and to enable each Coalition Member to decide how to address those challenges

Your prescription drug coverage is costing your Health Plan millions of dollars annually. It’s far too expensive to ignore.

And the prescription industry is constantly changing and presenting new challenges that must be addressed, if your costs are to be controlled.

Join the Coalition, and rely on our experts to ensure your Health Plan is continually protected.