Clinical Savings

Comprehensive Clinical Savings Programs

Understanding and implementing an appropriate cost-sharing strategy is key to controlling your drug-spend. The copay structure of your prescription benefit plan is the cornerstone of the many cost management programs you may choose to consider. ProCare Rx gives you many ways to save:

  • Lowest Cost Formulary
  • Prior Authorization of High Cost Specialty Medications
  • Step Therapy and Quantity Limits
  • Therapeutic Interchange
  • Generic Drug Initiatives
  • OTC Switch Programs
  • 6 Month Zero Copay Program

We take great pride in the overall performance of our clinically driven and financially proven formulary and our “lowest net cost of therapy” philosophy. Clients using our formulary have maintained cost trends below inflation for the last five years.

National Pharmacy Network

Our national network of retail pharmacies and mail order services ensures that our clients’ plan participants receive their medications in a convenient and cost-effective manner. The ProCare Rx National Network of 65,000+ pharmacies includes independent pharmacies and all major chains. Through this vast network of superior pharmacy providers, we provide our clients’ plan participants with local pharmacy providers within their zip code, as well as convenient mail-order service for larger quantities at a reduced cost. ProCare Rx Customer Care Center is available to our members, physicians, and pharmacies 24/7/365. We employ a bilingual staff (Spanish, plus other languages upon request).