Customized Plan Solutions

Universal Rx’s customized plan solutions, which begin with consultation services and can include customized diabetes management, mail order pharmacy services and retail utilization management, are designed to lower your members’ prescription drug plan costs while improving the quality of care they receive.

Consultation Services

Members look to their employers for new ways to control rising drug costs without sacrificing their prescription benefits and quality of service. They also look for customized programs that are geared toward their special medical needs. More importantly, they demand high quality service for themselves and their family members.

Universal Rx provides pharmacy benefit consulting support so the plan can choose the best total-cost solution for their organization and also provide benefits focused on the desires of their plan members. Universal Rx is able to access benchmark data to help our clients understand current utilization and solutions that can improve current plan performance and reduce costs.

Diabetes Management Program

On average, 12% of the total annual costs of medical care goes directly to diabetes care. Average medical claims for members with diabetes cost nearly three times as much as claims of enrollees without diabetes. Diabetes complications, such as kidney disease, contribute greatly to total healthcare costs, although these may not fall under the diabetes diagnosis code.

 Benefits Include:
  • Flexible Program Design to Meet Members Individual Needs and Existing Diabetes Initiatives
  • Increased Knowledge of Diabetes Self-Management for Members
  • Assistance in Controlling Costs Associated with Diabetes Management
  • Increased Compliance in Member Population with Diabetes Care Guidelines
  • Outcome Reports that Assist Plans in Directing Intervention Resources

Universal Rx has partnered with DrugSource to provide members access to low-cost diabetes supplies and specially trained representatives that provide education on living with diabetes.

Mail Order Pharmacy Services
Service

DrugSource, our mail service pharmacy component, combines personal service with the convenience of home delivery. Pharmacists and their patients develop a close relationship over time. Being able to ask questions and to personally know the pharmacist filling their prescription is important.

Convenience

The Mail Order benefit allows employees and their dependents to order up to a 180-day supply of maintenance medications with one simple co-payment and fewer trips to the pharmacy. High-quality maintenance medications can be conveniently ordered by telephone or online.

Savings

The Mail Order Pharmacy feature provides a benefit to both clients and their members. Taking advantage of the Mail Order feature helps members achieve greater savings and convenience while saving additional costs to the overall plan.

Preferred Rx Program

As additional generic medications become available in the marketplace and the use of prescription drugs grows, the opportunity to lower healthcare costs becomes even more significant. Furthermore, using more generics simply requires better education and awareness of alternatives, not an expensive up-front investment.

The use of Brand (or higher cost TIER 3) medications is a major factor in the increasing costs of prescription drugs. Universal Rx recognizes this problem and has developed a program that focuses on steering members toward a more cost-effective method.

Universal Rx utilizes innovative reporting to identify members who are currently utilizing a high cost prescription drug when there are comparable generics available. Universal Rx then contacts both the member and the member’s physician to provide them an alternative medication option. This method is invaluable in providing savings to both the client and member as it encourages patients and doctors to be proactive in maintaining a level of responsibility to the plan.

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