Payer Generic Program
CarePartners Generic Program Summary
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Comprehensive list of most prescribe drugs consisting of over 100 unique generic medications (over 1,200 generic NDCs)
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Covers most chronic condition categories
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Flat fee for 6-month or 1-year supply includes all shipping and handling as well as administration, eligibility maintenance, billing, customer service and account management
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Dispensed and shipped from fully licensed & accredited pharmacy
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Significant savings to both payer and members
CarePartners Generic Program Benefits
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Offers as an alternative and not a replacement of the existing PBM provider
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Fully transparent fixed pricing model with no AWP spread or restricted network
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Improved drug compliance and adherence for members with chronic conditions by removing financial and access barriers
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Pharmacy outreach program to monitor patient compliance
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Employers can enrich their employee benefit program by offering NO COST generics
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Significant savings for all payer groups
How It Works
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Payer provides pharmacy claim data to CPP for analysis
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CPP identifies members taking generic and brand drugs listed on CPP’s propriety list of generic and selected brand medications
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CPP provides a report to the payer detailing potential saving opportunities
- Payer approves the CPP program implementation
- Payer informs target members of the CPP program which provides selected generic medications delivered to their homes or office at NO charge to members
- CPP team contacts target members and inform them of the FREE generic programs
- CPP obtains prescriptions for 6-month or a year and ships to members directly
