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Cost Saver: Maximizing value, delivering confidence

Briefing

For many of us, prescription drugs are essential to managing our health, so affordability and accessibility are critical. Soaring prescription drug prices can put a financial strain on many Americans, who often turn to drug discount cards or direct-to-consumer online pharmacies to save money. Historically, these have not integrated with plan benefits, resulting in:

  • An inability to capture significant data that informs clinical support models
  • Disjointed care experiences for members when intervention opportunities are missed
  • Hidden costs when member spending does not count toward their deductible
  • Wasted time when members must shop around for the best price

 

Maximizing value, delivering confidence

Helping to lower costs and ensure continuity of care is more important than ever, so we’re introducing Cost Saver, powered by GoodRx, to make sure members can get low prescription prices.

 

Cost Saver complements your plan design by:

  • Providing members with the best available prices for many commonly prescribed, non-specialty generic drugs 
  • Applying member out-of-pocket costs to deductibles and out-of-pocket thresholds 
  • Coordinating clinical support and adherence programs using integrated data
  • Delivering a seamless member experience that avoids wasted time shopping around for the lowest available price

 

How Cost Saver works

Cost Saver acts behind the scenes to deliver the best available pricing. When a member visits the pharmacy to collect their prescription, they need only present their Caremark benefit card to get the lower price for their medications. Cost Saver then works automatically, invisible to members and seamless to pharmacists.

With Cost Saver, you can be confident that your members are receiving the lowest available price at the pharmacy counter.

In the vast majority of cases, members receive the lowest price on non-specialty medications through their Caremark prescription drug benefit. However, the price for any given drug may fluctuate frequently, even from one day to the next. Our integration of GoodRx helps to smooth the dynamic nature of the market and ensure that members receive the most competitive price for their prescription drugs.

 

  • 1 aspe.hhs.gov

 

Member's plan (e.g., employer) must elect to participate in the program in order for the member to access the Cost Saver program.

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