Getting your pharmacy benefits from the same place you get your medical coverage has a lot of benefits. According to an independent study by HealthScape Advisors, it could save you an average of $230 per member per year.*
Integration also leads to shorter hospital stays, better chronic condition management, and better overall health for members in general. Now that's a win-win scenario.
We use six key strategies to help keep your costs down while keeping members healthy.
This helps drive members to quality, affordable medications. Save up to 6.9%.**
Choose pharmacy networks to balance cost and access for all prescription needs. Save up to 2.25%.**
Our exclusive specialty pharmacy relationships can give you better care. Save up to 25%.***
A few extra cost-sharing options like copayment, coinsurance, and mail-order pharmacy that can save you money. Save up to 7%.**
Choose the best formulary to give access to appropriate, affordable drugs. Save up to 6%.**
Support members with a team of on-staff pharmacists, case managers, and health coaches. Save up to 0.6%.**
Our pharmacy solutions can improve lives and save your company money.
* Findings based on 2020 HealthScape Advisors study. HealthScape Advisors, an independent company, was engaged by Highmark to conduct an analysis of medical claims costs for ASO groups from 2017-2019.
** The savings maximum is an estimate based on adding multiple programs in the Six Strategies bucket; actual savings very based on current benefit setup.
*** Save up to 25% on medical specialty, site of care drugs.
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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.
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