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
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Get in TouchAnnual Client Savings
$16,000+
Annual Member Savings
$84
Results may vary based on formulary design. Past results do not guarantee future results.