Medical Drug Utilization Management
Clinical review that doesn’t cut corners
Ensuring the safety and effectiveness of prescription drugs leaves no room for error. That’s why Candesa does it all with an unbiased, patient-centric and clinically driven approach. Each request is reviewed by our expert pharmacists and medical directors to get employees the right drugs at the right time, all while managing costs and protecting resources.
How it works:
Lowering costs with greater clinical integrity
- Our dedicated team thoroughly reviews each case to ensure support of clinical policies, quality care and responsible resource use.
- Decisions are made based on policy criteria, clinical information and individual patient needs – not on financial incentives.
- Results are delivered quickly to help accelerate patient care and optimize provider efficiency.
What does that mean for your business?
Brokers and Consultants
Get a highly effective tool for proactively managing costs, allowing them to differentiate their offerings and strengthen group relationships.
Health Plans, PBMs and TPAs
Can ensure better member safety and outcomes, lower overall pharmacy spend, and compliance with regulatory requirements.
Employers
Save by reducing unnecessary or high-cost drug use while increasing employee safety and health outcomes, thanks to more effective treatment.
A proven record of performance
It’s clear that proper drug utilization management makes an impact:
Saving $60M/year for a 1.4M lives health plan
Smarter decisions, better outcomes
See how Candesa helped one member receive more effective care at a lower cost by recommending a medication that was more in line with her symptoms – for an annual savings of over
$100,000
View Full Case Study
Rx Concierge
This retrospective utilization management solution delivers guaranteed pharmacy savings and improved care – all with no disruption for members.
Direct Clinical Support Services
Through a national inbound and outbound call service staffed and supported by pharmacists, Candesa provides expert support programs that flex to meet the needs of each client.
Rx Concierge + Mark Cuban Cost Plus Drugs
Candesa Pharmacy Solutions℠ has teamed up with Mark Cuban Cost Plus Drugs to help make medications more affordable and easier to get.
Learn MoreConnect the dots with innovative pharmacy solutions. Start by connecting with us.
At Candesa, our experts are here to work with you to find and implement solutions that will help shine a light on opportunities to enhance care and drive down pharmacy spend. See what our combination of hands-on clinical expertise and advanced data can do for you.
Choose your role to get started: