PHARMACY BENEFIT MANAGER

Tired of Rising Prescription Costs?

Is it Time For Your Annual Checkup?

Noveta Health, powered by Southern Scripts, is excited to offer our clients a free health spend analysis on their pharmacy benefit management program. Together, we are bringing more clarity and savings to the pharmacy benefit space then has ever been seen before.

How Do We Find Savings?

  • Identify and match the employee's preferred primary care physician and network.
  • Boost Wellness participation. Employee participation typically exceeds more than 90%.
  • Enroll each employee in our industry leading benefits technology platform.
  • Inform employees about existing com retirement plans, tax-deferred contributions, and HSA benefits.
  • Educate about the value and importance of supplemental benefits.
  • Perform an informal audit and update beneficiaries.

How Are We Addressing Skyrocketing Prescriptions?

Our trademarked Variable Copay program addresses the number one driver of skyrocketing prescription costs, high-cost brands and specialty medications. This program has eclipsed our competition by capturing the full value of pharmaceutical manufacturer coupons and juxtaposed it with acquisition costs pricing, in turn providing our clients an average discount rate of 30% on over 2,000 high-cost brand and specialty medications.

How Does Our Variable Copay Deliver PBM Savings?

30% Reductions in Specialty Pharmacy costs
Variable Copay Program
Under the Variable CopayTM Program, your out-of-pocket cost for prescription drugs may be reduced or eliminated by a drug manufacturer's copay subsidy. If you are eligible to receive a manufacturer copay subsidy for a drug, your copay obligation for that drug will be the maximum manufacturer copay subsidy for that drug. If you are not eligble to receive a manufacturer copay subsidy, your copay obligation will be the copay amount listed for the drug in thestandart formulary under the plan.

Average Plan Savings Per
Rx with Variable Copay

(and after Member paid)

Sovaldi $4,200 Humira $585
Harvoni $3,653 Copaxone $580
Stelara $2,591 Enbrel $575
Orkambi $1,200 Cimzia $550
Simponi $741 Xeljanz $538

Case Study

The Problem

A mattress manufacturer is being “up-charged” nearly $1M in “spread” or drug markup pricing (this is the first line minus the fourth line of the analysis). That is pure profit for the PBM or other entities who are receiving compensation for your business.

Our Solution

Savings #1 – That $1M goes away immediately by contracting with
Southern Scripts and my 100% passthrough pricing contracts.

Savings #2 – Through our trademarked Variable Copay program for
high cost brand ad specialty drugs, where we maximize the value of
pharmaceutical manufacturer coupons for the members AND the
employer, we delivered additional savings of over $500,000 (conservative
estimate). We provide this program on over 2,000 medications and
growing.

Savings #3 – We delivered nearly a quarter million dollars in
conservative savings by deploying smart clinical management
strategies, for instance dispensing a generic instead of the more
expensive brand medication.

We found that they should be receiving between $510,000 – $690,000 in rebates
– we passed these back to them 100%.

All in, including netting out our administrative fee which we contractually warrant is our sole source of revenue, we were able to
save this manufacturer nearly $1.5M on your annual drug spend – just over $16 per prescription across all prescriptions.

Variable Copay - (Client) examples

* Savings with Southern Scripts (SS)
Drug # of Rx Plan Total Paid Net Paid Per Rx Net Paid Per Rx Net Paid Per Rx
Revlimid 8 $103,555.36 $12,944.42 $2,015.87 $16,126.96
Humira Pen 33 $151,300.05 $4,584.85 $1,151.84 $38,010.72
Lantus 20 $5,189.00 $259.45 $149.94 $2,998.80
Lantus SoloStar 20 $15,417.40 $770.87 $290.74 $5,814.80
Janumet 34 $14,009.02 $412.03 $114.20 $3,882.80
Victoza 31 $23,964.86 $773.06 $129.31 $4,008.61
Invokana 65 $28,713.75 $441.75 $380.07 $24,704.55
Trokendi XR 4 $1,859.88 $464.97 $160.72 $642.88
Xarelto 36 $14,469.84 $401.94 $216.49 $7,793.64
Farxiga 23 $10,253.17 $401.94 $205.46 $4,725.58
Januvia 20 $7,893.80 $394.69 $96.86 $1,937.20
Levemir FlexTouch 20 $8,406.60 $420,33 $69.68 $1,393.60
HumaLOG 15 $12,779.55 $851.97 $189.52 $2,842.80
HumaLOG KwikPen 20 $10,977.40 $548.87 $143.34 $2,866.80
NovoLOG 17 $9,695.10 $570.30 $110.82 $1,883.94
Total 366 $418,484.78 $24,285.29 $24,285.29 $119,633.68
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