CVS Caremark continues to be a leader and innovator in managing costs, starting back in 2012 when we launched the first formulary exclusions to improve clinical outcomes and address rising drug prices. Today, we are focused on biosimilars and transparent and low-net cost pricing models to continue to show our commitment to keep drug prices down and improve member health.
Choose the cost management approaches that align with your business objectives and plan benefit goals. Our condition management tools will help your members get clinically appropriate care to simplify their lives and lead to better health.
Cost management solutions
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Formulary management
The right formulary and plan design controls are the building blocks for our flexible and effective solutions.
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Utiization management
Utilization management (UM) solutions that provide cost-effective, clinically appropriate coverage control.
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Network strategies
Broad network strategies deliver lower plan costs without impacting access to care or the member experience.
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Pipeline and surveillance
Leverage robust pipeline insights to anticipate new market entrants that may drive increased utilization.
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Fraud, waste and abuse
Protect members and control costs with multi-level prescription safety and fraud prevention programs.
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Care management
Choose integrated clinical programs and solutions to manage drug trend and improve patient outcomes.
Our customizable approach to GLP-1s helps clients manage costs
Interested in learning more about our transparency solutions?
Stay updated with the latest news and articles
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1 CVS Health, 2024. Client savings are determined using cumulative value over a 5-year period (Upcoming year, current year, and three prior years). All data sharing complies with applicable law, our information firewall, and any applicable contractual limitations. Actual results may vary depending on benefit plan design, member demographics, programs implemented by the plan, and other factors.
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2 https://business.caremark.com/insights/trendlens.html
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3 https://business.caremark.com/insights/trendlens.html
