Services & Solutions

EmpiRx Health’s clinically-driven solutions put you and your members first.

Our industry-leading services and solutions enable plan sponsors to maximize drug cost savings while improving member health outcomes and quality of life. EmpiRx Health achieves these vital outcomes through a unique, clinically-driven approach to pharmacy care that leverages advanced population health analytics and AI-powered technologies.

Equally important, EmpiRx Health puts its customers first with an obsessive commitment to personalized, holistic and highly responsive member care. We care, and it shows in our exceptional service to clients and their members.

Our pharmacist-led solutions:

Population Health Management
Biosimilars as Preferred Therapy
Controlled Substance Oversight
Medication Optimization & Formulary Management
Mail Order, Retail Network, & Specialty Pharmacy
Member Portal & Member App
Starter Dose Program & Retrospective DUR
Clinical Review Messaging
Patient Saver Solution
Infusion Therapy Management
Glucose Monitoring
Member Care Advocacy

There’s a growing imperative to manage drug costs.

During the past 25 years, after adjusting for inflation, the per capita spending on prescription drugs has more than tripled – from $361 to $1,147. Prescription drug spending has far outpaced other healthcare costs.

When you factor in the proliferation of high-cost specialty drugs, it becomes even clearer that we are facing a Perfect Storm of rising drug costs. Typically, 1-2% of a patient population is driving around half of total prescription spend. The majority of those patients are using specialty medications, which cost on average $4,500 a month.

These prescription drug trends, especially the growing usage and cost of specialty medications, are putting enormous pressure on benefits plans and their members. Which makes it even more imperative that plan sponsors effectively manage rising drug costs so they can focus on what really matters: keeping their members healthy, happy, and productive.

Employer Group Waiver Plan (EGWP)

EmpiRx Health now offers an Employer Group Waiver Plan (EGWP) Program. EGWP is a Medicare Advantage plan that is offered by plan sponsors, as well as unions, to their retirees and other eligible employees. EmpiRx Health’s EGWP Program offers valuable advantages for both plan sponsors and members, including reduced costs, improved benefits, and streamlined administrative processes.

Additionally, the Centers for Medicare & Medicaid Services (CMS) provide waivers for EGWPs that allow flexible administration, as well as customizable benefits.

Want to learn more about how MO can transform your pharmacy benefits plan?

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