Consumer Tools

Web-based services

Pharmacy BenefitDirect offers a web-based consumer pricing tool. This real-time online program provides plan members with independent, unbiased cost-comparison data specific to their prescription drug histories, formularies and benefit structures.

Using our secure website, plan members will have access to personalized information about the drugs they are taking, out-of-pocket costs associated with these drugs, availability of therapeutic alternatives and savings estimates resulting from migration to less expensive therapeutic alternatives. This information encourages members to work with their physicians in selecting the highest quality, lowest cost drug therapy. Members can access this information directly via the Internet or work through one of our friendly, knowledgeable customer service representatives.

Our Internet solution includes the following modules:

Plan member – Member-focused “prudent purchasing” tools
Plan administrator – Utilization, claims, auditing reports and customer service support
Care/disease management – Uses drug- and disease-specific filters to identify and manage high-risk members
Plan design modeling – Uses historical claims data to profile the financial impact of plan design changes by incorporating variables related to formulary, plan design, drug migration and new drugs in the marketplace

Plan administrators who use these web-based tools can more effectively manage the administrative and clinical components of their plans.