Benefits Management Plus

Benefits Management+

With our suite of pharmacy and medical benefits management solutions, we’re reimagining the pharmaceutical value chain to drive greater affordability and access to life-changing treatments. Our offerings leverage data insights to create tailored solutions and tackle rising costs for all.

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Pharmacy Benefits Management

Prescription medication remains the single most-used benefit and the most high-touch, real-time aspect of health care. That’s why health plans, employers, and other organizations rely on our Pharmacy Benefits Management (PBM) services, as we provide:

  • Decades of drug trend management
  • Formulary and supply chain excellence
  • Revolutionary care value programs

By delivering smarter solutions to clients and their members, our PBM provides better care at lower cost.

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Medical Benefits Management

Our eviCore solution drives value through evidence-based clinical guidelines, in-house clinical expertise, and advanced technologies to enhance medical benefits management. For example, we can help providers select diagnostic tests based on clinical effectiveness and cost, or choose a clinical care pathway that is evidence-based and effective. We can also help direct members to the provider with the right expertise.  

With Care Continuum®, we help manage specialty drug bills, helping clients and their patients reduce wasteful spending.

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Value-Based Care Solutions

Our value-based PBMs provides clinical value, innovative technology, and actionable data analytics. Combined with industry leading customer support and access to one of the largest pharmacy networks, our value-based care solution has what you need to support your claims management strategy. myMatrixx, for example, is squarely focused on workers’ compensation patient advocacy. 

myMatrixx’s unique position as a pharmacy benefit manager (PBM), dedicated to injured workers, means we can tailor solutions to the specific needs of each client. Flowing from this idea is a powerful set of products designed to achieve positive outcomes and keeping patient safety as the highest priority.

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Pharmacy Vaccination Program

Using Evernorth’s existing relationships with retail pharmacies, the Pharmacy Vaccination Program helps support good health, combat preventable illness, and reduce downstream medical costs.

Get coverage for any or all vaccines, help answer questions with our customizable communications toolkit, and better support your members’ health now and in the future.

Learn about Pharmacy Vaccination Program

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