Simply Save Rx: High Cost Generic Management
Our latest addition helps clients manage high-cost generics while optimizing member access to equally effective, less costly generic alternatives.
Unlocking Savings Through Simply Save Rx High Cost Generic Management
As drug affordability challenges continue, it’s no surprise that more than 90% of employers are concerned about high-cost drugs and pharmacy cost trend overall.1 The painful reality is that wasteful traditional drug spend continues to persist in the market, with high-cost generics gaining more traction and contributing to rising costs. Guiding members to the lowest cost drug is a top opportunity identified by plans2, but they may not have all the strategies in place to do so effectively.
Our Simply Save Rx solution gives clients a more straightforward path to managing drug spend and guiding members and providers to cost-effective therapies.
High Cost Generic Management
The latest addition to Simply Save Rx—High Cost Generic management—is a drug optimization strategy that can be layered on top of formulary and utilization management for clients who wish to tightly manage generic drugs. The program targets higher cost generic drugs and guides patients, pharmacies, and prescribers to equally effective, less costly generic alternatives. Benefits of the program include:
Ongoing generic marketplace monitoring
Evolving target drug list based on the changing market
Continuous clinical support through coverage reviews
With upcoming updates:
More clients will be able to access this program at no cost to them or their members, making it easier to achieve meaningful savings through generic drug management.
What you need to know
All impacted members will receive a pre-notification letter in advance of the change. Clients who do not wish to take advantage of this opportunity for additional savings need to notify their account executive by October 17, 2025.
Sources
Business Group on Health, 2024 Large Employer Health Care Strategy Survey
Midwest Business Group on Health, 2023 Employers Health Benefits Priorities
FOR CONSULTANT/BROKER USE ONLY. Please keep this information confidential and do not share outside of your firm.