Generating Sustainable Plan Savings with Proactive Pharmacy Management
The Challenge
A public sector employer sought greater control over rising pharmacy and specialty drug costs while maintaining plan stability. Volatile specialty spend and limited ability to intervene early created risk and undermined predictable budgeting.
Our Solution
VeracityRx implemented an integrated pharmacy management strategy designed to reduce specialty risk and generate sustainable savings, including:
- Specialty drug management paired with an importation program to avoid high-cost retail claims
- Agile formulary management to rapidly adopt biosimilars as they entered the market
- Early identification and intervention for members initiating specialty therapies
This proactive approach enabled VeracityRx to act before costs escalated— preventing full-cost claims while preserving continuity of care.
Real Impact
Our approach delivered consistent, measurable results:
- $300,000+ in pharmacy savings within the first six months
- Nearly $400,000 in savings during the same period the following year
- Stabilized plan spend year-over-year despite changing utilization
- Reduced exposure to high-cost specialty drug claims
Actively managing pharmacy risk, rather than reacting to claims, drives predictable costs, lower specialty volatility, and stronger overall plan performance.
VeracityRx’s integrated approach to specialty medication management delivers rapid savings, sustained cost control, and stable outcomes, helping employers reduce volatility while supporting their workforce.
