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Let’s explore some of today’s priciest medications: 1. Danyelza – priced at $1.01 million/year 2. Kimmtrak – priced at $975,000/year 3. Folotyn – priced at $842,585/year They’re all primarily utilized in the treatment of rare cancers. The reality is groundbreaking medical advancements often come with hefty price tags. As specialty drugs and therapies advance, these cost trends become entrenched. Such high-cost treatments resemble catastrophic claims more than traditional drugs taken over extended periods. When paired with traditional PBM economic solutions, managing costs becomes a different challenge. If you’re part of a conventional healthcare approach, your current model for paying for such therapies may falter. Enter ParetoHealth and our ParetoHealth Rx Consortium (PRxC). Our PBM solution includes a pillar specifically tailored to alleviate the costs of specialty drugs and treatments. We carve out specialty drugs from your PBM contract and utilize advanced analyses of clinical value, appropriate use, and other factors to reduce claims for these high-cost drugs. Last year, we rerouted $43 million through specialty Rx programming by optimizing specialty drug costs with our PBM partners. With PRxC, we not only deliver substantial cost reductions for our Members but also ensure optimal quality of care. Given that pharmacy costs likely represent a significant portion of your overall healthcare spending, solutions like PRxC are pivotal in managing overall healthcare expenditure.

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