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Public & Labor Groups

Working together to improve member health while increasing savings and service

Why Elixir is the Right PBM Partner for Public & Labor Groups

 

Elixir isn’t your typical pharmacy benefit management (PBM) company… In fact, we’re working very hard to be not just different than the rest, but better. Here's How

Scale & Flexibility: Large enough to compete and flexible enough to deliver on client requirements

Retail, mail and specialty pharmacy services. We are part of Rite Aid, a Fortune 130 company that is proudly 50% unionized. Rite Aid not only gives us the strength to compete aggressively on discounts, rebates and anciliary fees, it also creates enterprise-wide pharmacy services. This means over 2,400 retail stores in 17 states and over 6,500 pharmacists corporate-wide who deliver multiple opportunities for a high-touch member experience throughout the pharmacy value chain, through counseling in our specialty and mail facilities, virtual online chat, in a retail setting or in our call centers.

Focused on member benefits. Your members deserve strong benefits and a seamless experience with their prescriptions and we are committed to ensuring they get them. Customized member communication and co-branded materials minimize disruption. We offer EGWP and RDS management for retiree populations, flexible network access and customizable clinical programs.

Transparent data steward. Transparency isn’t just a pricing option with us. It means contract language that’s easy to understand, with straightforward definitions and exclusions, and you have full data rights. We provide you with ALL of your data because it belongs to you.

Industry Knowledge & Expertise: Pharmacy benefits veterans recognized as a top 10 PBM1

Over half our book of business is employer clients. We’re not new to pharmacy benefits, or serving labor or public sector clients. When we were founded over 20 years ago, we were a pioneer in rebate transparency and the first to provide point-of-sale rebates. Our labor clients have an average tenure of more than five years with us, and our public sector clients an average of 11 years. Over the past two decades, we’ve partnered with our clients to ensure their pharmacy benefit plans support their objectives and goals. We create solutions unique to their populations—not a 'one size fits all' approach.

Full pharmacy care experience. As a full-service PBM, we have been purposely built and own all the assets needed to give your pharmacy program control, stability, scale and privacy:

  • Industry leading adjudication platform, offering flexibility, efficiency and data privacy protection
  • Accredited mail and specialty pharmacies, creating an exceptional member experience, waste reduction and cost savings
  • Population health services through our sister company, Health Dialog
  • Prescription discount programs for uninsured and under-insured  and Medicare Part D plans individuals, associations and groups

More quality accreditations than most PBMs. Elixir is one of only two PBMs to earn all four core PBM accreditations by URAC. Additionally, we have several accreditations from the National Committee for Quality Assurance (NCQA), Accreditation Commission for Health Care (ACHC) and National Association of Boards of Pharmacy (NABP). 

Consultative & Trusted Advisor: Our real strength is our people.

Dedicated labor and public sector teams. Elixir has over 1,500 associates—true pharmacy professionals—who work toward our mission of helping achieve whole health for life. With hundreds of years of combined healthcare experience with labor, unions and public sector clients, a dedicated account team puts their expertise to work for you. This means those you work with are well versed in the challenges you face every day with negotiated and/or legislated requirements and offer solutions that work. 

Enterprise labor relations knowledge. Our labor team members take annual Taft Hartley focused training. We have strong knowledge of market trends, collective bargaining agreements and constraints that plan sponsors face. Elixir knows this segment and will work alongside you, providing resources and guidance on collective bargaining requirements.

All groups, no matter the size, are supported by a dedicated account executive, account manager and clinical account executive, who meet with you regularly for ongoing alignment, strategy and interventions to drive goals. Our clients have rated our responsive account teams with a 99% client satisfaction rate

Industry leading specialty solutions. With specialty approaching 50% of drug spend, Elixir has created industry leading specialty solutions, which include our own specialty pharmacy, a best-in-class network, access to limited distribution drugs, an expansive managed copay process, and a unique and proven process for working with alternative payers.

Our Managed Copay Program can significantly offset drug spend with as much as 16% savings on drugs that pass through this program, while impacted members pay on average less than $35 per prescription. Every member is assessed for copay assistance programs to help ease their financial burden.  

As more and more specialty generics hit the market, our specialty generics program provides an option for plan designs that have limits around other specialty savings vehicles.

Most importantly, we spend the necessary time per member assessing and closing gaps in care, enabling behavioral change and improving health outcomes. Proving that our specialty care management works, we have achieved a Net Promoter Score (NPS) of 82, which is eight points higher than the national average.*

 

1 https://accessmarketintell.com/product/pbms-2021-annual-review/

* NPS is one of the most used satisfaction indicators in all industries, based on one question, “would you refer Elixir Specialty to someone else?”