School District Sustains 57% Pharmacy PMPM Reduction with VeracityRx
The Challenge
In 2024, a public school district with approximately 180 employees was spending more than $180 per member per month (PMPM) on pharmacy benefits, driven largely by specialty medications and high-cost brand-name drugs. The district needed a sustainable way to reduce pharmacy spend without reducing employee access to care.
Our Solution
Beginning January 2025, the district partnered with OneVeracity and implemented VeracityRx, combining:
- Specialty medication management to identify lower-cost sourcing and clinically appropriate alternatives for high-cost therapies
- Personal Importation Program (PIP) to give members access to the same brand-name medications at a significantly lower cost
- Clinical pharmacy oversight to ensure every savings opportunity supports clinical appropriateness and continuity of care
- Ongoing cost containment strategies that continuously monitor claims and intervene as new high-cost therapies emerge
Real Impact
Pharmacy PMPM
- 2024 (pre-OneVeracity): $180+ PMPM
- 2026 year to date: $77.80 PMPM
- 57%+ reduction sustained over nearly two years
Personal Importation Program (PIP)
- $203,367 saved
- 73% savings rate
Specialty Medication Management
- $39,747 saved
- 68% savings rate
- Savings of up to 94% on specialty therapies
Strategic Insight
Over nearly two years, the district has maintained pharmacy costs near $80 PMPM, less than half of its pre-OneVeracity spend. Through proactive management of specialty and high-cost medications, VeracityRx has generated more than $243,000 in pharmacy savings for the district without reducing employee access to care.
57%+ PMPM reduction | $243K+ in savings | 72% overall savings rate
Frequently Asked Questions
How much did the school district reduce its pharmacy costs?
Pharmacy spend dropped from more than $180 PMPM in 2024 to $77.80 PMPM in 2026 year to date, a reduction of more than 57% that has been sustained for nearly two years.
How much did the district save with VeracityRx?
The district generated more than $243,000 in pharmacy savings: $203,367 through the Personal Importation Program and $39,747 through specialty medication management, for a 72% overall savings rate.
Did employees lose access to their medications?
No. The district's goal was to reduce pharmacy spend without reducing access to care. Clinical pharmacy oversight ensured every change supported continuity of care.
