No. The transition is a simple, straightforward process for you and your employees.
There are three main sources of savings when transferring to a captive model from fully-insured:
1. A Prescription Benefit Manager (PBM) assists employers with networking pharmacies, aggregating rebates, managing formularies and much more!
2. Makes you compliant with Healthcare Reform with gated accumulators medical and prescriptions
3. Access to retail discounts
4. Access to rebates
For access to rebates, PLUS you cannot buy directly from wholesalers. More importantly, with this volume of business, buying 1,000 is much different than 1,000,000 prescriptions
Yes, a pass-through PBM can provide real-time auditing and access to contracts.
Southern Scripts is the most transparent PBM in the Country. We itemize rebates and never practice price gauging.
This puts the monetary risk on the PBM. We think this is the smoke and minors process currently in play with the industry!
Southern Scripts keeps none. Not a penny.
Rebates are used to leverage and ensure market share and access through formulary placement.