Flex Scripts Logo
A UNIQUE APPROACH TO EMPLOYER-PROVIDED PRESCRIPTIONS BENEFIT PROGRAMS

What Makes Us Unique?

  • PRICING

FlexScripts has a deeply priced contract with our PBM partners. We review market pricing annually to ensure that our clients benefit from the most competitive PBM contract pricing on the market.

  • ANALYTICS

We develop our rates quarterly, using factors derived from our own block of business, and the millions of claims we load into our data warehouse. We annually review our copay and deductible factors to ensure they accurately reflect the value of the employer-selected plan design.

  • MANAGEMENT

We continuously audit the claims administration process to ensure the PBM is properly administering both contract pricing and plan design.

  • DILIGENCE

We ensure that each dollar an employer spends on their employee pharmacy benefit is being spent in the most cost effective manner. This satisfies the fiduciary responsibilities of self-funded ERISA plans.

Brokers & Agents
Members
Plan Sponsors
 

FlexScripts — the coverage you need
at a price you can afford.

FlexScripts employs sophisticated software applications to find, fix and forecast risk in your pharmacy benefit program. We add daily management and application of our proprietary software-driven process to create improved cost savings and enhanced risk management.

Our associates are industry experts who provide high touch service for your members while managing the risk in three basic kinds of pharmacy benefit
programs, including:

Insured
Fully-Insured Plans with Benefit Limits
Reinsured
Fully-Funded with Stop Loss Provision
Managed
Program Options for Groups of More Than 100 Members
 

FlexScripts Platinum
•   Access to Great Rx Pricing via an Aggregated PBM Contract
•   Quarterly Pricing Audits
•   Dedicated Implementation Team
•   Desk Top Cost Modeling
•   FlexScripts Management of All Customer Service Calls
•   Eligibility Management
•   Clinical Oversight and Modeling
•   Annual Plan Design Audits
•   Annual Renewal Report
•   FlexScripts Overall Responsibility for Client Risk Management
•   Fraud, Waste and Abuse Reporting Solution
•   J-Code Analyzer (Specialty Medications Crosswalk)
•   Pharmacy and Medical Data Integration

FlexScripts Gold
•   Access to Great Rx Pricing via an Aggregated PBM Contract
•   Quarterly Pricing Audits
•   Annual Renewal Report
•   Dedicated Implementation Team
•   Desk Top Cost Modeling
•   FlexScripts Management of all Customer Service Calls
•   Eligibility Management

FlexScripts Silver
•   Access to Great Rx Pricing via an Aggregated PBM Contract
•   Quarterly Pricing Audits
•   Quarterly Trending Reports
•   Annual Renewal Report
•   Dedicated Implementation Team