Opportunity
This national PBM was working with a “Big 3” PBM for their rebate and formulary management solution. The rigid approach did not support them in growing their business and was difficult to manage internally.
The PBM wanted a partner that was going to listen, bring innovation and optimize the formulary options to be clinical and cost balanced.
The PBM prides itself in being consultative in determining the best approach for each individual client, being transparent and always exceeding expectations. They needed a rebate and formulary management company that would enable them to deliver on that.
Solution
RemedyOne provided formulary options with proven clinical efficacy while also maximizing cost savings. Our clinical team assists the PBM in writing clinical policies to ensure compliance and allow the PBM’s clinical team to focus on serving their clients.
Our rebate and formulary optimization services along with our RFP support services, enabled the PBM to grow its business and increase its total rebate yields. In addition, the PBM was able to make good on their promise to provide their clients with transparent reporting.
Success
RemedyOne’s continuous efforts to increase rebate yields coupled with the PBM’s growth produced a 40% year over year increase in rebate yields from 2018-2019.
