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Clinical Services

Formulary Management

Understanding and implementing an appropriate cost-sharing strategy is the key to controlling your drug spend. We provide clients with a team of experienced clinicians to assist in the development of a practical program that fits the needs of your unique membership. The structure of your prescription benefit plan is the cornerstone of our many cost management initiatives. We take great pride in the performance of our clinically driven and financially supported formulary design and our “lowest net cost of therapy” philosophy. Clients using our formulary have maintained cost trends below national growth rates for the last ten years.

At MC-Rx, your savings begin with:

  • Lowest cost formulary with customizable features
    • Therapeutic MAC Program
  • Prior Authorization of high-cost specialty medications
  • Step therapy and quantity limits
  • Therapeutic interchange
  • Generic drug initiatives
  • OTC Cap and switch programs

 

Clinical Programs

MC-Rx's clinical team optimizes drug therapies and provides member health education, putting the patient and provider first.  Our clinical services are developed and managed by registered clinical pharmacists based on continuing evaluation of new drugs and usage trends.

  • Pharmacy and Therapeutics (P&T) Committee
  • Development of clinical protocols
  • Formulary management
  • Benefit plan design consultation
  • Drug utilization and review
  • Drug trend analysis and reporting

 


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