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Case Study: How One Mental Health Prescription Switch Saved a Client $16K Per Year


Reducing Pharmacy Costs Through Strategic Drug Selection for Mental Health

Background:

Mental health prescribers may be resistant to modifying therapy for stable patients. We understand the fragility of this population and conduct outreach to prescribers using a peer-to-peer approach. Members using an affordable regimen are more likely to be adherent, leading to better outcomes.  

Opportunity:

Our pharmacy team identified a member taking a brand name medication with a higher member cost burden than other generics in the category.  

Result:

We conducted outreach to the prescriber to discuss the economics in this scenario. The prescriber opted to transition the member to a generic alternative with the same efficacy and clinical evidence.  

Savings:

Annual Client Savings: $16,600+ 

Annual Member Savings: $84 

Want to see how you could save? Contact us for an ROI guarantee proposal to see.

Results may vary based on formulary design. Past results do not guarantee future results.