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Solutions - Self Funded RX
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HDHP Self Funding Self Funded RX Flexible Spending

Take control of your prescription drug plan by self funding with a Pharmacy Benefit Manager (PBM). Working with a PBM helps clients achieve pharmacy and healthcare savings, better health outcomes and a more desirable plan member experience. We accomplish these results with our experienced pharmacy partners, and their evidence-based approach to care.

Our Pharmacy Benefit Initiatives
Working Together to Improve the Health of Your Employees and Your Bottom Line

As healthcare costs rise, it is critical to implement innovative solutions that can achieve your goals and objectives – and MBA is committed to providing those solutions. MBA’s preferred PBM’s offer products and programs that integrate clinical and analytical expertise in three distinct areas:

  • Pharmacy benefit management services
  • Specialty pharmacy products and services
  • A full spectrum of clinical and condition management services
With a concentrated focus on clinical appropriateness, these programs offer minimal disruption to plan participants and are proven to reduce pharmacy spending.

Reasons We Chose to Work with our PBM’s

Price

Our preferred Third Party Administrator (T.P.A.) Ameraplan has a preferred pricing contract with two of the nations largest PBM’s that offers leading discounts on brand and generic drugs. By self-funding your prescription drugs, you take control of your spending by gaining access to your actual prescription drug utilization. Access to this data provides you the necessary tools to manage your pharmacy benefit cost now and well into the future.

Implementation and Service Excellence
From implementation to the safe, effective delivery of the pharmacy benefit, we work hand-in-hand with our PBM’s to develop and implement strategies targeted at meeting your specific objectives.

Flexibility and Innovation
We strive to proactively address your organization’s unique needs. Our PBM’s assists in these efforts by providing consultative resources, including a multitude of plan design options, to best determine the most effective way to manage your pharmacy benefit.

Cost Management
Our PBM’s have proven that their comprehensive programs and services do work by maintaining a single-digit trend for the last two years – a trend that is consistently lower than the national average.

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Solutions to Optimize Your Pharmacy Benefit Investment

Mail Service
Mail service is a key component of the prescription benefit. Your organization can save money through mail service and your plan participants may benefit from lower out-of-pocket costs, greater convenience and assured therapeutic safety.

Education
Through education, participants are encouraged and empowered to be wise healthcare consumers. Through plan design, participants are led to make better decisions.

We work with you and our PBM’s to analyze your population and understand your goals, so that we can recommend plan design strategies that achieve an optimal balance.

Reporting
Our PBM’s offer proven flexibility in designing and reporting key information to help clients and participants manage their prescription drug benefit. All reports are plan participant specific, educational and directional. Reporting includes participant utilization which provides cost savings opportunities to both the client and plan participant.

 
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