Today, pharmacy benefits are more important than ever – and more expensive than ever. If you are like most plan sponsors, you are looking for a strategic partner who can provide comprehensive pharmacy benefit management services that deliver the cost savings you are looking for. At BioScrip®, we have the tools to help deliver those results including: seasoned experts, effective formulary management, sophisticated reporting, drug utilization reviews and a wholly owned mail service pharmacy.

By drawing on our extensive PBM, pharmacy and industry experience, we are able to incorporate the right mix of cost saving program features to help maximize savings without sacrificing service. We actively work with each of our partners to analyze their prescription utilization goals along with the composition of your patient base and pharmaceutical utilization, to create a custom PBM plan tailored to meet your objectives.

Leveraging pharmacy benefit management plan features to deliver results.

A BioScrip pharmacy benefit management program is a true client-based solution that provides the appropriate medication, with the least amount of administration, at the optimum price. Plan features and tools we are able to leverage include:

• Formulary Management: Our national formulary encourages the use of lower-cost drugs, including generics, without compromising clinical effectiveness. Our multi-tier design allows us to go beyond the ordinary by customizing the formulary design to be open or highly restrictive.
  
  
• Customized Co-Pays: Including Drug-specific co-pays and multi-tiered co-pays tie drug effectiveness and cost together, while allowing member choice.
  
  
• Prior Authorization, Medical Necessity and Step Therapy Programs: We use rule-based programs to help reduce duplicative prescribing and usage. We can offer lower-cost therapies without sacrificing effectiveness.
  
  
• Deductibles and Benefit Maximums: Encourage responsible prescription usage by plan members. Let us show you how to use these pharmacy benefit management tools to balance your need for cost savings with member access.
  
  

Our clinical expertise gives us the edge in helping prescribers provide the best care for your plan members. True pharmacy benefit management extends from payor, to prescriber, to patient.

• Online Drug Utilization Review (DUR): This is a comprehensive set of tools designed specifically to control utilization before, during and after dispensing. By identifying over utilization, therapeutic duplication and excessive dosing, you can realize cost savings. This also reduces the burden on participants and limits unnecessary prescriptions.

• Refill Notification: When plan members have chronic conditions, we can help keep your patients' treatment regimen on track by providing simple reminders.
  
• Specialty Pharmacy Integration: Specialty diseases account for a large percentage of drug expenditures. BioScrip is a leader in providing specialty medications and in treating individuals with complex chronic conditions. Our Specialty Mail Services help contain costs for specialty medications while improving patient outcomes. 
  

Ensure that your plan members have pharmacy access where and when they need it with BioScrip Pharmacy Benefit Management Services. We provide a comprehensive pharmacy network and all-inclusive systems for accurate claims processing and reporting.

• Network Design and Management: Nationwide access to local pharmacies, including all major chains. More than seven million plan members rely on our network of 58,000 pharmacy locations each day, to provide local access to prescription drugs.
  
  
• Mail Service: Our wholly owned, state-of-the-art mail service facility offers delivery of prescription medications via mail. Our Mail Services are tailored for 90-day maintenance medications that help control such conditions as asthma, high cholesterol, diabetes and hypertension via home delivery. We deliver prescriptions quickly and accurately to meet your members needs.
  
• Claims Processing and Adjudication: Our proprietary system offers exact benefit implementation and execution. Member coverage verification, formulary compliance, claims approvals, member co-pay and pharmacy reimbursement are adjudicated in real time. This flexibility allows for all plan design options. 
  
• Customizable Data Reporting: Utilization data is key to understanding the effectiveness of your PBM in executing your pharmacy benefit plan design. We make it easy to get answers with our Web-based reporting system, BioScrip Central. We provide timely information and give you the greatest flexibility to find the data you need and report it in the format you want.

Our experienced account management team is trained to help customers define prescription management issues and design a program to address those issues. We will be able to help you:

• Assess your current needs
• Gather supporting data
• Design a custom program
• Implement the program
• Analyze program results

Contact us today for an analysis and consultation.
Jeff Vigh, VP of Sales and Client Services
jvigh@bioscrip.com
P: 614-850-6681
TF: 866-325-6756