Rising Cost of HealthCareRising pharmacy costs are among the top concerns of group health plans. The utilization of specialty medications is one of the fastest growing and most expensive areas in the pharmacy industry. PrudentRx’s innovative solution is working to help self-funded insurers and unions realize real savings in this area.

Insurance BenefitsNo two businesses are alike, so their health plans shouldn't be alike. A one-size-fits-all approach of commercial plans cannot be the best option for each business. Manage your plan as you would manage your business, based on your employees’ specialized care needs.

PrudentRx ServicesPrudentRx was founded to help health plans of any size manage the rising cost of specialty medications. With our pharmacy expertise, we can help free up your valuable internal resources allowing you to focus on your more critical areas of business operations. Our analytical techniques help identify the areas where management of your specialty healthcare plan spending can be improved. We utilize smart tools with effective cost-containment features to increase your saving opportunities. Our value-based benefit design coordinates programs across your health plan landscape, including pharmacy benefit managers (PBMs), and other stakeholders.

PrudentRx helps find solutions for:

• Self-funded plans subject to the Employee Retirement Income Security Act (ERISA)
• Self-funded plans not subject to ERISA (e.g., government and church plans) if there are no conflicting state laws
• Coalition and Third-Party Administrator (TPA) clients may be appropriate
• Taft-Hartley

PrudentRx can help forward-thinking businesses and self-insured employer groups in their specific vision, health plan goals, and specialty care needs.

Who is PrudentRx?The PrudentRx leadership team has over 30 years of combined experience in healthcare, customer service, and pharmacy. Specialty medications are used to treat complex or rare chronic conditions and they require a tailored member approach. Our expertise in plan design, specialty pharmacy and manufacturers programs allow us to create customized programs for our clients that optimize savings for both members and plan sponsors. PrudentRx is committed to providing premium service to the members, taking into consideration each member’s individual needs.