Prescription Drug Benefit Management

Prescription drug expenditures represent the fastest growing segment of health care cost in workers’ compensation. The average employee’s and retiree’s drug benefit costs are on the rise, and are expected to continue to grow at an annual rate of 10% to 14% or more for the foreseeable future. Annual Drug expenditure in the US is expected to double from $220 billion per year in 2006 to $440 billion per year in 2016.

Cost drivers for pharmacy include inappropriate or duplicated medications, lack of an overall medication plan, brand name versus generic drugs, high priced prescription distribution methods, and the development of new drugs and high cost therapeutic breakthroughs.

ANS Rehab Consulting helps contain the high cost of prescriptions while working with the physicians to make sure the patient gets the full benefit of the medications needed to treat the injuries.

ANS works with employers, third party administrators, workers’ compensation vendors and other parties to design and manage prescription benefit plans for individual patients, both in the context of prescription cost containment and as part of providing accurate Life Care Plans and Medicare Set-Asides.

Our staff of Certified R.N.s and PharmD’s evaluates specific patients’ medication usage and works with the physician to tailor a plan to safely and effectively manage the patient’s needs. ANS offers a complete Prescription Drug Management solution for our clients, which includes the following specific services:

• Detailed Pharmacotherapy Review with Recommendations
• One on one meeting with treating medical provider
• Pharmacy Review and letter given to physician for response
• Request-for-Proposal Development for Pharmacy Vendor Services
• Evaluation of Bid Responses from Pharmacy Vendors
• Assistance in Pharmacy Vendor Selection & Contracting
• Monitoring of Pharmacy Vendor Performance

If pharmacy costs are taxing your resources or driving up your cost projections or MSA values, the experts at ANS Rehab Consulting can help!

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