Frequently Asked Questions

Will my employees expereince any difficulty switching to Noveta Health?

No. The transition is a simple, straightforward process for you, and your employees.

What are the main sources of savings that are being achieved by moving into a captive vs. fully-insured?

There are three main sources of savings when transferring to a captive model from fully-insured:

  • Reducing volatility of premiums. No marking up of claims.
  • ACA tax savings. Fully insured employers pay $500-$600 in ACA fates annually, per employee.
  • Carving out your pharmacy plan, on a Mier fee basis. No drug mark ups.

What is a PBM?

1. A Prescription Benefit Manger (PBM) assists employers with networking pharmacies, condensing imroi.s, aggvegating rebates, managing costly …mono., managing formularies and more
2. Makes you compliant with HCR with …gated accumulators med/Rx
3. Access to retell discounts
4. Access tc rebates

As an employer, why would I need a PBM? Can my company buy direct from the wholesaler?

For access to rebates, PLUS you cannot buy directly from wholesales. More imporDNly, with this volume of business, buying 1,000 is much different than 1,000,000.

Is there a clear way to verify if a PBM is processing claims as contract indicates?

Yes, a pass-through PBM can provide real-time auditing and access to contracts.

Do you provide full transparency regarding rebates and spread pricing?

Sonthere Scripts is the most transpare. PBM in the Country. Y., we itenisr rebates and do not practice 403,144T1

What do you think about a PBM deal that guarantees an average script cost?

This puts the monetary risk on the PBM. I think this is the smoke and minors process currently in play with the industry!

Do you keep any pharmaceutical manufacturer's dollars, rebates, ect.?

Soutliem Scripts keeps none. NA a penny.

What is the truth behind rebates? Why can't we get to a simplified lower cost model?

Rebates are used to leverage and ensure market share and access through formulay placeme.

%d bloggers like this: