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Benefit Plan Design & Administrative Services
HealthTrans works in tandem with clients to design pharmacy benefit plans that can be uniquely customized all the way down to the patient level.

Unlike traditional PBMs, HealthTrans' plan changes can be executed in real-time. Our experienced staff is readily available to assist clients at every phase of the plan design, monitoring and adjustment phases, so they can easily implement plan designs that will have a positive impact on their bottom line. Features include:

   Plan analysis, design and implementation - allowing clients as much or as little control over the process as desired. Our seasoned team ensures seamless implementation and timely launch

   Customized benefit structures - providing exceptional control down to the patient level, allowing for inclusions and exclusions for greater plan flexibility, accommodating even the most complex plan design

   Multi-tier co-pay structure - can accommodate percentage of fixed cost copays and any number of other structures desired

   Automated therapeutic protocols - to more effectively execute plan-specific step protocols and reduce cost of interventions

   Brand interchanges - allowing for exceptions to ensure appropriate generic substitution and therapeutic interchange

   Multi-domain rules - allowing clients to design rules that can be combined to provide flexibility in benefit design and administration

   Deductible and benefit carry over - allowing for varying benefit structures to ensure ceilings and other stop-loss variables are accurately tracked

   Consumer directed benefits - allowing patients greater control of their benefit dollars

   Optimal drug cost management - ensuring drug manufacturer rebates and formulary selections are in line with business objectives

   Integrated benefit savings accounts - for enhanced patient satisfaction, due to the reduction in reimbursement paperwork

   Governmental best drug pricing - assisting Medicaid and Medicare entities with deeper cost savings they may not qualify for without third party assistance

   Mail order options - allowing clients the option to offer mail order delivery, in an effort to save enrollees money and increase payer profits

A Healthier Approach to Pharmacy Benefits 800.950.9120

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