PlaidRx

HRSA's stance makes sense as it is focused on protecting the integrity of the 340B program, ensuring that it continues to benefit vulnerable patients and safety-net providers as intended. By opposing J&J's Rebate Model, HRSA is preventing potential disruptions to patient access and avoiding shifts in financial burdens onto covered entities.

Pharmacy Benefit Managers (PBMs) play a pivotal role in managing prescription drug plans, but too often they prioritize profits over patient needs, inflating costs by promoting expensive drugs instead of affordable biosimilars. PBMs should shift their focus to cost-conscious, transparent practices that pass savings directly to employers and patients. By collaborating with partners like PlaidRx, PBMs can increase access to affordable medications and help sustain employer-sponsored healthcare plans. A commitment to full pass-through savings and alternative solutions will ensure long-term affordability and improve the health of all plan participants. #AffordableHealthcare #PrescriptionSavings #PBMReform #BiosimilarBenefits #TransparentPharmacyCare #LowerDrugCosts #HealthcareSustainability #PatientFirst #FullPassThrough #CollaborateForCare

Join us at the 70th Annual Employee Benefits Conference and discover a smarter way to manage prescription costs. As the alternative sourcing partner for innovative prescription benefit solutions, we’re reshaping the way employers save on healthcare without sacrificing quality. #IFEBP2024

🌟 🌟 Exciting News: Guardian Scripts is Now PlaidRx! 🌟 🌟 We are thrilled to announce that Guardian Scripts has rebranded to PlaidRx! 🎉 Our new name, PlaidRx, embodies our belief in the power of diversity and unity. Just as a plaid pattern interweaves various colors and threads into a vibrant and resilient fabric, PlaidRx symbolizes our integrated approach to healthcare. We unite diverse services, partners, perspectives, and expertise to deliver personalized and comprehensive healthcare solutions for every patient. PlaidRx stands for our unwavering commitment to inclusivity, diversity, and holistic care. Join us as we continue to weave a stronger, healthier future together! #PlaidRx #Healthcare #Rebrand #Diversity #Unity #HolisticCare

Imagine you’re promised a discount, but instead, the savings vanish into thin air. That’s exactly what happened when CVS and its pharmacy benefit manager (PBM) failed to pass on millions in drug rebates to Illinois. Instead of easing the burden on Medicaid patients, CVS chose to pocket the savings, leaving many to pay more out-of-pocket for their medications. To restore integrity in the pharmacy benefit space, we have to support and advocate for PBMs that prioritize transparency, fairness, and patient welfare: 1) Transparent Practices: Choose PBMs that openly disclose their rebate practices and ensure savings are passed on to patients. 2) Patient-Centric Models: Support PBMs that put patients first, aiming to reduce out-of-pocket costs and improve access to essential medications. 3)Innovative Solutions: Look for PBMs that leverage technology and innovative approaches to drive down costs and enhance efficiency.

Even though the PBM industry is complicated, the FTC's report on how PBMs affect drug prices and access should have come out faster. Given the urgent need for oversight, the FTC could have used existing knowledge and legal tools to speed up data collection and analysis. Better internal processes and earlier preliminary findings could have addressed the most urgent problems sooner. The public's serious concerns about high drug costs and unfair PBM practices called for a quicker response from the FTC to show its dedication to protecting consumers and taking effective action.

The rise in lawsuits related to employer-sponsored health plan costs significantly impacts benefit advisors and consultants, heightening their accountability and requiring strict adherence to fiduciary and legal responsibilities under laws such as ERISA. They must conduct thorough due diligence on service providers, ensure compliance with transparency regulations, and maintain meticulous documentation of all decisions. To find cost-effective solutions, advisors should engage in extensive market research, negotiate favorable terms with vendors, leverage data analytics, implement cost-control measures, conduct regular audits, and educate employees on efficient use of their benefits. These strategies help manage costs, ensure compliance, and provide value to plan members while mitigating legal risks for employers. #EmployeeBenefits #HealthPlans #CostTransparency #FiduciaryDuty #BenefitAdvisors #HealthcareCosts #ERISACompliance #HealthPlanSavings #EmployerResponsibility #HealthcareConsulting #CostEffectiveSolutions #LegalCompliance #PlanMemberValue

In response to changing regulations and legal precedents, self-funded employers must regularly review their pharmacy benefit strategies to ensure compliance and cost-effectiveness. Exploring alternative cost-control measures is crucial due to rising drug costs, regulatory uncertainty, and increased legal and compliance expenses. Effective cost-control strategies, such as formulary management, utilization management, negotiating better rebates, and promoting the use of generics, can help mitigate rising costs and maintain budget stability. Additionally, these measures can enhance employee satisfaction by ensuring access to affordable medications and improving overall health outcomes. By proactively managing pharmacy benefits, employers can better navigate the complex regulatory environment and control healthcare spending.

Relying solely on PBM mail-order programs has proven to be a costly strategy for employers. Exploring alternative programs like Guardian Scripts, which offer a holistic approach to cost reduction and patient care, can lead to significant savings and better health outcomes. By prioritizing transparency, direct negotiations, and continuity of care, employers can more effectively manage their prescription drug benefits and support their employees' health and well-being. Check out www.GuardianScripts.com to learn more! #HealthcareInnovation #CostSavings #PharmacyBenefits #EmployeeWellness #HealthCareCosts #PharmaceuticalCare #PatientOutcomes #SpecialtyMedications #PrescriptionSavings

Pharmacists play a critical role in ensuring medication safety across the continuum of care by reducing medication errors, improving prescribing practices, and enhancing patient monitoring. As medication therapy becomes more complex, pharmacists' expertise in individualized care is invaluable. They ensure access to medication, provide crucial medication information, evaluate medication appropriateness, and improve medication adherence, ultimately enhancing patient quality of life and reducing healthcare costs. Guardian Scripts' partnership-driven approach supports hospitals in delivering high-quality care while containing costs for employer-sponsored health plans. By leveraging the expertise of pharmacists and MTM Telemedicine, we bring new patients to established programs without adding extra burden to pharmacy staff, increasing patient and medication volume, and boosting hospital revenue. Learn how employers can reduce brand-name and specialty pharmacy costs by working collaboratively us and our partner hospitals at www.GuardianScripts.com.