RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 800 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients. RxBenefits’ Independent Prior Authorization Review Process. Prior Authorizations (PAs) can be a headache for members but are necessary in ensuring that they receive only the safest, most cost-effective therapies for their condition. Our simpler, hands-on approach to prior authorizations offers a vital layer of protection against inappropriate ... RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 750 pharmacy pricing, data, and clinical experts working together to deliver prescription …In recent years, there have been many questions and discussions in the marketplace about where prescription drug rebate dollars are going. The reality is drug rebates carry an economic value of about 20%-30% of the cost of an employer’s prescription drug program. These are real dollars that present a real opportunity for a pharmacy …RxBenefits offers consultants a superior alternative to traditional PBM arrangements by providing a comprehensive, multifaceted suite of solutions for layered protection. These solutions include market-leading purchasing power and contract expertise, independent clinical oversight to ensure the pharmacy benefit remains both …RxBenefits’ select Patient Assistance solutions ease that burden, helping your employee find and apply for other sources of funding. These solutions are offered in partnership with carefully selected vendors – they facilitate the process, and RxBenefits makes $0 from Patient Assistance Solutions.Mark serves on the RxBenefits Board of Directors and is responsible for transaction origination, investment policy, fundraising, investor relations, and the general management of Great Hill Partners. His investment experience covers a broad group of industries, including health care, financial technology, telecommunications, …The RxBenefits clinical team flagged this claim and reached out to the physician. The clinical review found that the member had in fact lost weight, and only one vial was needed to meet the specific dose requirements of the medication. Optimizing this dose saved the plan $40,000 per month. This example shows how important it is, …RxBenefits, Inc. provides pharmacy benefit procurement and administration services. The Company specializes in advocacy services for consultants on behalf of employers, employees, and their ...by RxBenefits April 7, 2021 4 min readin Industry News. Anti-steering laws are designed to prohibit pharmacy benefits managers (PBMs), or insurer-owned pharmacies, from profiting off prescriptions “steered” from their PBM and insurance affiliates to in-house or mail-order pharmacies they own. Such laws have been …Helping Multiple Employers (TPAs, consortiums, associations, health plans, etc.),… | Learn more about Jeffrey Lyons's work experience, education, connections & more by visiting their profile on ...Contact Member Services. There’s a reason we’re so proud of our Member Services team. Unlike typical automated call systems, our members get prompt access to live, …Anti-Steering Laws Grew In 2022. by Wesley Hill, J.D. September 23, 2022 2 min readin Pharmacy Trends. Since 2019, the number of states with anti-steering pharmacy benefit laws has increased exponentially. From the early adopters of Louisiana, Minnesota, and Oklahoma, anti-steering has spread to 18 states …Bryan Statham joined RxBenefits in 2005, drawing upon a successful career in the healthcare and pharmacy benefits industry at companies such as Complete Health and UnitedHealthCare. Based on Bryan’s experience, it became clear to him that being an expert in optimizing pharmacy benefits for self-insured employers …Secret Benefits - Where Experienced & Attractive People MeetLast updated on 11/20/2023. General Information. (800) 377-1614. [email protected]. Client Services. (866) 769-5987.We would like to show you a description here but the site won’t allow us.RxBenefits has launched two new solutions to help its self-insured clients and patients access available drug assistance programs. Specialty medicines now account for 55% of medication spending in the United States according to IQVIA. Officials with RxBenefits said costly specialty drugs challenge plan sponsors in …RxBenefits offers that something more, leveraging our expertise in working with more than 200 hospitals and healthcare providers and tailoring our solutions to the specific needs of the client. We help hospitals design client-aligned contracts that avoid the potential pitfalls of pharmacy benefits in their space, make the most use … RxBenefits PromptPA Portal is a web site that allows you to request and check the status of prescription drugs and medical services prior authorization. You need your insurance card, the name and strength of the drug or service, and the start and end dates of the service or prescription. RxBenefits extends to you the negotiating power of our 3 million aggregate members and more than $3 billion in annual pharmacy spend. But that’s just the beginning – our dedicated hospital management team and clinical experts come with the industry-specific knowledge that’s crucial for building and managing pharmacy plans to the lowest ... A PBO can guide you through the maze of pharmacy benefit options to help your client arrive at the lowest net cost. As the nation’s first and leading pharmacy benefits optimizer (PBO), RxBenefits will help you and your self-funded clients defeat the forces of drugflation, helping them secure a robust, member-friendly self-funded …Jan 31, 2023 · What Benefit Plan Sponsors Can Learn from Weight-Loss Sensation Ozempic. Ozempic, an FDA-approved medication originally developed to treat type 2 diabetes, is making waves among consumers for its rapid weight loss results. Before Ozempic’s mass media exposure in late 2022, the drugs’ slimming side effects weren’t well known by consumers ... 800.334.8134 | [email protected]. Monday – Friday, 7:00am – 8:00pm Central. Client Services. The support you need now – because later is too late. When you need support now, you need it now. That’s why our Client Services team works alongside our Account Management teams to provide accessible, responsive …The process took 1 day. I interviewed at RxBenefits in Aug 2023. Interview. 1) Call with a recruiter 2) video meeting with hiring manager and a mock presentation/QBR This was what i was told, but the recruiter was supposed to follow up with me after initial call and I reached out to him 3 times and received no response.RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 750 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants …Prescription drug costs have become increasingly troublesome for both employers and consumers. In fact, they represent the fastest rising healthcare expense in the U.S.. Prescription drug rebates are often touted by drug manufacturers and PBMs as a significant way to reduce pharmacy benefits costs – and they can, in fact, help reduce up …RxBenefits’ Independent Prior Authorization Review Process. Prior Authorizations (PAs) can be a headache for members but are necessary in ensuring that they receive only the safest, most cost-effective therapies for their condition. Our simpler, hands-on approach to prior authorizations offers a vital layer of protection against …Nov 30, 2021 · The average cost of an 8-week course to treat hepatitis C is $34,000, with some hepatitis C cases requiring 12 weeks of therapy increasing annual cost for combination Opdivo® and Yervoy® therapy is in excess of $150,000 and Luxturna® therapy cost exceeds $850,000. The cost for a Zolgensma® infusion is a record-breaking $2.1 million. Drug importation is a violation of the FFDCA and can put employers at risk of both civil and criminal liability. Another point to consider is how international drug sourcing is impacted by the Drug Supply Chain Security Act (DSCSA). The DSCSA, established in 2013, outlines certain requirements that must be met by manufacturers, repackagers ...The chain effect of the loss of rebates is just starting to be seen, and we can expect further actions and strategies by commercial plans to overcome the loss of rebates to 340B programs. RxBenefits continues to implement strategies to combat this ever-changing 340B environment. We are reviewing all available …RxBenefits’ Pharmacy FAQ. Who is RxBenefits? Founded in 1995, Birmingham, AL-based RxBenefits is the employee benefit industry’s first and only technology-enabled …RxBenefits’ New “Optimize MyCare Diabetes Support Program” powered by Tria Health provides a personalized approach using pharmacists to reduce total health care costs related to diabetes. RxBenefits, the employee benefits industry’s first technology-enabled pharmacy benefits optimizer (PBO), today …RxBenefits is a trusted partner and adviser to employee benefits consultants wanting to offer their clients the best possible value and service for their self-funded clients. And were the pharmacy benefits solution provider of choice to those clientsemployers looking to protect their own financial well-being while also …Website. www.rxbenefits.com. Organization Type. Private. CEO. Bryan Statham. Social Media. We are the industry's first technology-enabled pharmacy benefits optimizer, working to provide amazing pharmaceutical benefits to our clients. Based in Birmingham, AL, RxBenefits is a medium-sized retail …RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 500 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients. With nearly 2 million members, we bring market-leading …We would like to show you a description here but the site won’t allow us.Jun 14, 2023 · The newest addition to Protect, RxBenefits’ client-aligned suite of clinical programs, is the High-Touch Therapeutic Interchange for Anti-Inflammatory Medications and Dermatologic Agents. The program provides patient advocacy and instruction for new patients and members with a history of using these popular treatments. May 24, 2022 · Introducing our New Chief Executive Officer, Wendy Barnes. Wendy Barnes joins RxBenefits with over 25 years in healthcare management. Prior to joining our team, Wendy served as the president of Express Scripts Pharmacy, where she led her team to achieve service, operations, and financial success across multiple consumer-centric pharmacies. Prescription drug costs have become increasingly troublesome for both employers and consumers. In fact, they represent the fastest rising healthcare expense in the U.S.. Prescription drug rebates are often touted by drug manufacturers and PBMs as a significant way to reduce pharmacy benefits costs – and they can, in fact, help reduce up … Home - RxBenefits PromptPA Portal. Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician. The average RxBenefits salary in the United States is $76,083 per year. RxBenefits salaries range between $41,000 a year in the bottom 10th percentile to $139,000 in the top 90th percentile. RxBenefits pays $36.58 an hour on average. Geographic location also impacts RxBenefits salaries. RxBenefits employees in Lutz, …A Pharmacy Benefits Manager is a company that administers the prescription drug benefit component for a variety of customers including health plans, government agencies, employers, and others. PBMs now implement prescription drug benefits for some 266 million Americans. PBMs assist plan sponsors in …RxBenefits’ Independent Prior Authorization Review Process. Prior Authorizations (PAs) can be a headache for members but are necessary in ensuring that they receive only the safest, most cost-effective therapies for their condition. Our simpler, hands-on approach to prior authorizations offers a vital layer of protection against …RxBenefits, the employee benefits industry’s first and only technology-enabled pharmacy benefits optimizer (PBO), today announced it has completed its previously announced acquisition of Confidio, a pharmacy benefits consulting firm. RxBenefits and Confidio are both focused on solving a persistent industry issue – …Diabetes drugs are consistently in the top three cost-driving therapeutic classes for pharmacy benefits, and they accounted for 18% of total gross cost for RxBenefits’ Book of Business in 2022. 1. The growing costs in this category can be attributed to more Americans developing Type 2 diabetes and an increased interest in …Competitors: Unknown. Founded in 1995, RxBenefits occupies a unique niche in the healthcare benefits industry as a strategic expert on pharmacy benefit procurement and …RxBenefits’ Independent Prior Authorization Review Process. Prior Authorizations (PAs) can be a headache for members but are necessary in ensuring that they receive only the safest, most cost-effective therapies for their condition. Our simpler, hands-on approach to prior authorizations offers a vital layer of protection against … As pharmacy benefit experts look ahead to 2023, they see an affordability issue for prescription drugs as a rising concern for self-funded employers. With specialty medications — treatments for chronic, complex, and rare conditions that impact fewer than 200K Americans — dominating the drug pipeline, the median annual price of newly ... RxBenefits has an overall rating of 3.4 out of 5, based on over 123 reviews left anonymously by employees. 56% of employees would recommend working at RxBenefits to a friend and 63% have a positive outlook for the business. This rating has decreased by 9% over the last 12 months.Contact Member Services. There’s a reason we’re so proud of our Member Services team. Unlike typical automated call systems, our members get prompt access to live, …Optimize Member Health andControl Costs Associated WithPoorly Managed Diabetes. Diabetes is a top-3 driver of pharmacy and medical spend for employers. For most plan sponsors, medications for diabetes and metabolic syndrome — also known as pre-diabetes — are a top expenditures. Diabetes is also a condition that …RxBenefits and Confidio share a passion for optimizing both the economic and clinical value derived from pharmacy benefits for plan sponsors and the combined 3 million member lives -- and growing -- that the organizations serve. "Pharmacy is a scale-driven business, ...The RxBenefits Difference. The purpose of an electronic PA is to get a prescription approved quickly. This swift turnaround makes it a member and provider satisfier, but it’s a systems-based apparatus. With RxBenefits independent PA reviews, an actual person is overseeing the process. Our independent, in-house pharmacist team …Working with RxBenefits, the hospital experienced a more transparent, collaborative relationship aligned with its goals. RxBenefits’ total solution helped the hospital rein in its high-cost prescription drug spending and provided needed support for its in-house pharmacy and 340B program successes.Enjoy this RxMinute video to learn the basics about drug tiers and formularies. If you need more information, please reach out to your account manager.If you have any questions, remember that the RxBenefits’ Member Services team is here to help Monday – Friday from 7:00 a.m. to 8:00 p.m. CT at 800.334.8134 or [email protected]. RxBenefits Bridge™ solutions are designed to help reduce the financial gaps employers and members face for high-cost specialty drugs they …Mar 31, 2022 · This cycle leads to a rise in drug prices that ultimately impacts the consumer – especially when coinsurance is involved. For example, if a drug has a list price of $1,000 with a $500 rebate to the plan sponsor, the net cost of the drug is $500. However, if the member has a 50% coinsurance, they actually pay $500 (50% of the $1,000 price ... Download the Prior Authorization Form. Check the Status of your PA Request. HWMG Members Prior Authorization Form. Thank you for downloading the prior authorization …Bryan Statham joined RxBenefits in 2005, drawing upon a successful career in the healthcare and pharmacy benefits industry at companies such as Complete Health and UnitedHealthCare. Based on Bryan’s experience, it became clear to him that being an expert in optimizing pharmacy benefits for self-insured employers …RxBenefits and Confidio share a passion for optimizing both the economic and clinical value derived from pharmacy benefits for plan sponsors and the combined 3 million member lives -- and growing -- that the organizations serve. "Pharmacy is a scale-driven business, ...Jan 31, 2023 · What Benefit Plan Sponsors Can Learn from Weight-Loss Sensation Ozempic. Ozempic, an FDA-approved medication originally developed to treat type 2 diabetes, is making waves among consumers for its rapid weight loss results. Before Ozempic’s mass media exposure in late 2022, the drugs’ slimming side effects weren’t well known by consumers ... Bradley is an experienced pharmaeconomics strategist, with more than 15 years spent in the pharmacy industry. His industry background includes driving the development of operational support systems and care strategies for self-insured health systems. At RxBenefits, Bradley blends his retail pharmacy and managed …A formulary is a dynamic list of medications covered by a plan. It influences the drugs prescribers and members will select so the member can receive treatments that are both clinically valuable and cost-effective. The U.S. Food and Drug Administration (FDA) review process historically considers the clinical … In 2023, we grew our Member Services team by 50% to accommodate unprecedented demand. And our already award-winning member service is even better with our new member portal, putting easy access to benefits and communication with our team in the palms of our members’ hands. Mon – Fri 7:00am – 8:00pm cst800.334.8134 [email protected]. We’re Different. Founded in 1995, Birmingham, AL-based RxBenefits is the employee benefit industry’s first technology-enabled pharmacy benefits optimizer (PBO). We are a growing team of more than 700 pharmacy pricing, contract, service, technology, data, and clinical experts that work together as one team towards one common goal: putting ... #10. Top 10 specialty medications by gross plan spend, according to RxBenefits’ 2022 book-of-business analysis: 1) Humira. 2) Stelara. 3) Enbrel. 4) Skyrizi. 5) Tremfya. 6) Biktarvy. 7) Revlimid. 8) Otezla. 9) Dupixent. 10) Norditropin. As the pharmacy landscape continues to evolve, it’s clear no simple solution will …RxBenefits’ Preferred Financial Assistance solutions help patients get the medications they need at the lowest possible price while helping plan sponsors offset costs and reduce risk. Whether it’s a high-cost specialty medication or lower-cost generic, we’re always looking for ways to help members save – and in many …One health system in the Northeast United States with 3,145 members achieved 5% savings by switching to a channel-agnostic pharmacy benefits contract. The new arrangement optimized use of the hospital’s on-site, owned resources and used the hospital’s preferred pharmacies first, instead of the PBM-owned pharmacies.RxBenefits has grown to more than 750 employees serving over three million members and managing over $3 billion in annual pharmacy spend. Show less Vice President, Public Sector SoutheastExpress Scripts 2022 Formulary Updates. Below you will find links to download the following documents: Sample client emails. Formulary documentation and information reflecting the changes effective 1/1/2022. If you have any questions, please contact client services or your account management team. Thank you, …Before joining RxBenefits, Jack served as a Sales Account Executive and Pharmacy Sales Director for Anthem, Inc. John C. Tackman, MBA's Posts Lesson on Limited Distribution Drugs & Specialty Rebate Guarantees As pharmacy benefit experts look ahead to 2023, they see an affordability issue for prescription drugs as a rising concern for self-funded employers. With specialty medications — treatments for chronic, complex, and rare conditions that impact fewer than 200K Americans — dominating the drug pipeline, the median annual price of newly ... RxBenefits offers a range of solutions to help self-funded employers save money, mitigate risk, and protect their employees' health and safety. Learn how RxBenefits can negotiate …The employee benefit industry’s first Pharmacy Benefits Optimizer (PBO), RxBenefits is a different kind of pharmacy partner. We are not a PBM, TPA, or coalition. Our pharmacy experts work independently of the Big Pharma machine to help our employee benefit consultant partners and their self-insured employer …Access your prescription drug and medical service benefits online. You need your insurance card and the information provided by your physician to start a new prior authorization …Optimize your pharmacy benefits with RxBenefits, the leading PBO that helps you save costs, improve outcomes, and enhance service. Learn how RxBenefits can tailor a …My Time At RxBenefits. Data Integration Analyst (Former Employee) - Birmingham, AL - November 15, 2022. I worked at RxBenefits, Inc. as a contractor through an agency in Birmingham, AL. My time there was pretty decent. The workload was not too bad and the people were pretty friendly and nice. The training I encountered was very fast paced.Aug 4, 2021 · RxBenefits, a leading technology-enabled pharmacy benefits optimizer (PBO), today announced an agreement to acquire pharmacy benefits consulting firm, Confidio, pending regulatory approval. The pending transaction will bring together two premier, complementary providers of pharmacy benefits services, significantly expanding the combined company ... We would like to show you a description here but the site won’t allow us.RxBenefits’ select Patient Assistance solutions ease that burden, helping your employee find and apply for other sources of funding. These solutions are offered in partnership with carefully selected vendors – they facilitate the process, and RxBenefits makes $0 from Patient Assistance Solutions.The chain effect of the loss of rebates is just starting to be seen, and we can expect further actions and strategies by commercial plans to overcome the loss of rebates to 340B programs. RxBenefits continues to implement strategies to combat this ever-changing 340B environment. We are reviewing all available …Mark serves on the RxBenefits Board of Directors and is responsible for transaction origination, investment policy, fundraising, investor relations, and the general management of Great Hill Partners. His investment experience covers a broad group of industries, including health care, financial technology, telecommunications, …RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 750 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients. With nearly 3 million members, we bring market-leading …Bryan Statham joined RxBenefits in 2005, drawing upon a successful career in the healthcare and pharmacy benefits industry at companies such as Complete Health and UnitedHealthCare. Based on Bryan’s experience, it became clear to him that being an expert in optimizing pharmacy benefits for self-insured employers …RxBenefits has an overall rating of 3.4 out of 5, based on over 123 reviews left anonymously by employees. 56% of employees would recommend working at RxBenefits to a friend and 63% have a positive outlook for the business. This rating has decreased by 9% over the last 12 months. RxBenefits Protect solutions are led by independent PharmDs, delivering clinical expertise, oversight, and intervention to ensure medications are appropriately prescribed and used while avoiding unnecessary, inefficient spending. 7-10%. Plans lose 7-10% solely due to poor clinical management. Using Nexium as an example, here is how the cost might look with DAW penalties in place: Nexium costs $250 and the generic costs $30 post-discount. The member pays a higher non-preferred brand drug copay of $40 plus the difference between $250 and $30, which is $220. The total cost to the member to receive …Nathan is highly technical yet highly skilled in interpersonal communications. He is able to speak with and relate to all levels within the organization. His skills are evident in his continual ...RxBenefits, the employee benefits industry’s first technology-enabled pharmacy benefits optimizer (PBO), today announced that its Board of Directors has appointed Wendy Barnes Chief Executive Officer. Barnes succeeds Bryan Statham, who served as the company’s president from 2013 to 2016 and CEO for the past six years.Our no-cost analysis provides deep insights into 10 crucial areas of your client’s current contract and plan performance. First, a high-level overview of how the current contract and pricing arrangement …
Carving-out the prescription drug benefit still provides the best access to critical Rx insights, contract and utilization oversight, and targeted cost-savings strategies for companies to effectively manage their pharmacy plan spend. Rather than sit back and wait for your client’s pharmacy plan to improve, you can act now to ensure their .... Alta regional
The average RxBenefits salary in the United States is $76,083 per year. RxBenefits salaries range between $41,000 a year in the bottom 10th percentile to $139,000 in the top 90th percentile. RxBenefits pays $36.58 an hour on average. Geographic location also impacts RxBenefits salaries. RxBenefits employees in Lutz, …“RxBenefits is the industry’s only fully independent, client-aligned, multi-PBM platform delivering tangible pharmacy savings, optimized clinical outcomes, and a superior customer experience,” said Bryan Statham, Chief Executive Officer of RxBenefits. “Advent brings a robust track record in the …Mar 31, 2022 · This cycle leads to a rise in drug prices that ultimately impacts the consumer – especially when coinsurance is involved. For example, if a drug has a list price of $1,000 with a $500 rebate to the plan sponsor, the net cost of the drug is $500. However, if the member has a 50% coinsurance, they actually pay $500 (50% of the $1,000 price ... RxBenefits Protect solutions are led by independent PharmDs, delivering clinical expertise, oversight, and intervention to ensure medications are appropriately prescribed and used while avoiding unnecessary, inefficient spending. 7-10%. Plans lose 7-10% solely due to poor clinical management. Our Pharmacy Benefits Inflation Tracker tool aggregates real RxBenefits Book of Business data to examine trend and inflation on drug pricing. The tool updates monthly to give a real-time view of what is occurring in the market as a means to mitigate wasteful spending.RxBenefits, Inc. provides pharmacy benefit procurement and administration services. The Company specializes in advocacy services for consultants on behalf of employers, employees, and their ...RxBenefits and Confidio officially joined forces in September 2021 and have since combined capabilities and assets to better advocate for both the financial and clinical interests of plan sponsors and their members’ pharmacy benefits. With a combined 3 million members and $3 billion in annual drug spend …RxBenefits offers consultants a superior alternative to traditional PBM arrangements by providing a comprehensive, multifaceted suite of solutions for layered protection. These solutions include market-leading purchasing power and contract expertise, independent clinical oversight to ensure the pharmacy benefit remains both …May 24, 2022 · Introducing our New Chief Executive Officer, Wendy Barnes. Wendy Barnes joins RxBenefits with over 25 years in healthcare management. Prior to joining our team, Wendy served as the president of Express Scripts Pharmacy, where she led her team to achieve service, operations, and financial success across multiple consumer-centric pharmacies. 800.334.8134 | [email protected]. Monday – Friday, 7:00am – 8:00pm Central. Client Services. The support you need now – because later is too late. When you need support now, you need it now. That’s why our Client Services team works alongside our Account Management teams to provide accessible, responsive …Introducing our New Chief Executive Officer, Wendy Barnes. Wendy Barnes joins RxBenefits with over 25 years in healthcare management. Prior to joining our team, Wendy served as the president of Express Scripts Pharmacy, where she led her team to achieve service, operations, and financial success across multiple consumer-centric ….