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Prescription Benefit Management Programs  

 

 PREFERRED ALIGN NETWORK

To be part of the Preferred Align Network, participating pharmacies have agreed to more aggressive reimbursement rates. By utilizing an Align Network pharmacy, the benefits are two-fold. First, you pay a lower copay and save on your out-of-pocket expenses. Second, the plan is charged lower rates for that prescription, which saves you money on premium rates in the long run!

STANDARD NATIONAL NETWORK

We also have a tier of copays that are associated with the pharmacies that are part of the National Network.

 

Whenever you have a question about your prescription benefit, contact the Prescription Network office and we will address it for you. Whether it is a question on copay, coverage of a medication, how to be reimbursed … our staff is here to assist you. Our phones are answered by a person, so you will not get stuck in an automated phone system. Service to our members is of the greatest importance to us.

Members are only covered through a group program with Prescription Network (we do not have programs that allow us to contract with patients directly).

Fudiciary PBM

Medical Benefits Group has partnered with several different companies to bring the right programs together in perfect unity.  Prescription programs for groups are crucial in maintaining true costs for groups. Partnering up with an established leader within the pharmacy benefits management and consulting fields.   Our professional team, with more than two decades of experience, manages prescription benefits for employers, TPAs, government entities, unions, worker’s compensation MCOs, HMOs and 340B entities. Services include:

  • On-Line / Real-Time Claims Processing
  • Flexible Plan Design with Cost Control Recommendations
  • Comprehensive Report Catalog and Custom Reports
  • Detailed / Consolidated Billing Reports
  • COB with Medical Plan / Quarterly DUR Summations
  • National Retail Pharmacy Network
  • Competitive Pharmacy Contract Rates
  • High Generic Substitution with Aggressive Pricing
  • Integrated Mail Order and Specialty Pharmacies
  • Member / Pharmacy / Client Services Help Desk – available 24/7
  • Prompt ID Cards in National Standard Format
  • Formulary Management / High Rebate Yields
  • Disease State Management (DSM) for High Risk Members
  • Prospective DUR for Member Safety / Plan
Efficiency
  • Medication Therapy Management Services                
  • Secure Access to Member Enrollment / Eligibility
  • Systematic Pharmacy Audits / Recovery
  • Strong & Experienced Clinical / DUR Team
  • Board Certified Physician and Academic Advisors
  • Management / Executives with Decades of PBM Experience
 

 

Discount Prescription Program

Prescription costs are consistently rising.  Utilizing a prescription discount card will save your clients up to 75% off different prescriptions. It’s so easy. The hardest part may be remembering to take your card with you to the pharmacy. If you remember that much, the rest is simple. Just present your card to the pharmacist.  He/She will reference the group and ID number listed on your card to access your negotiated discount to your prescription cost.  Membership is free and is accepted at all major pharmacies.