Workers' Compensation Pharmacy Benefit Management

Available from Equian

Rx-direct costs account for 19% of medical spending or 11 to 12% of total incurred costs for injured workers—and these costs are expected to double within the next five years. Costs further affect medical spending due to treatment of side effects, claim duration, and permanency. This means Rx spending can account for 25-30% of an employer’s incurred costs.

Equian’s pharmacy benefit management solutions provide all the essential elements for a successful Rx program: service, utilization strategies, and excellent rates. Our staff pharmacist provides the expertise necessary to customize and implement plans for clients that put them in control of utilization to lower spending on pharmaceuticals. The integration of our bill review program provides a holistic approach that drives further savings and prevents processing gaps.

Our solution attributes include:

Access to over 68,000 pharmacies nationwide including major chains
Drug utilization review
Generic adoption
Opioid management
Education and awareness
Formulary management
Pre-Auth and certification
Mail order
Specialty pharmacy
24/7 help desk support

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