Prescription Benefits

Controlling Pharmacy Costs

Luminare Health contracts with nearly 40 leading pharmacy benefit managers to provide employers with quality, nationwide options and the flexibility to select the solution that works for their population’s unique needs.

Our PBM vendors offer our clients assistance with manufacturer coupons, prior authorization, and other programs to help keep prescription costs down whenever possible. Clients also have the options of multiple competitive pricing options and rebates through our PBM vendors.

Reasons to Use Luminare Health PBM Contracts

Luminare Health's preferred pharmacy benefit managers offer...

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Service Excellence

Escalated issue support

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Utilization Management

Wide variety of utilization management programs

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Annual Audits

Third-party consultant reviews 100% of claims and returns underperformance dollars to clients

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Class Action Lawsuits

Support and filing for any pharmacy-related class action lawsuits

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Competitive Pricing

Market competitive pricing, renegotiated annually

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Contract Options

Traditional and transparent contract options

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Expediated Client Onboarding

Using established file feeds to support faster onboarding

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Legal Compliance

Compliance with all applicable federal and state legislations, including data for Transparency in Coverage requirements

Preferred Pharmacy Benefit Managers

CVS/Caremark

  • 68,000+ retail network pharmacies
  • 1,100+ MinuteClinic locations
  • 2.5 billion prescriptions managed or filled
  • 104 million PBM plan members
  • 23 retail specialty pharmacies
  • Website provides detailed information about services and programs

Liviniti

  • 50,000+ FirstChoice™ pharmacies nationwide
  • 90-day fills at participating FirstChoice™ pharmacies
  • 100% of discounts & rebates passed to the plan
  • 30% average savings on high-cost brand/specialty drugs with Variable Copay™
  • All-inclusive administration fee, no additional program charges
  • Mail order prescriptions delivered in private, secure packaging
  • Live 24/7/365 customer service based in the U.S.

Prime Therapeutics

  • 24/7 member and pharmacy customer service
  • Pharmacy network with 68,000+ pharmacies, including all major chains
  • URAC-accredited home delivery and specialty pharmacies
  • Formulary management with open, closed and partially closed options
  • Drug utilization review aimed to reduce cost from prescribing errors and improper drug use
  • Disease management to identify specific clinical needs
  • Manufacturer rebates to help negotiate the value price discount

Specialty Drug Management

We have solutions to help control the costs of specialty prescriptions by offering cost-effective access to drugs through mail service delivery. We also utilize cost-containing tools like:
  • Prior authorization
  • Step therapy
  • Managed specialty formulary strategies
  • Lower cost infusion site options

To learn more about how PBMs can help control costs and more, download our whitepaper Understanding Pharmacy Benefit Managers.