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Clinically Speaking Newsletter:
September Issue

Issue 5: August 2024
Clinically Speaking, There's a Real Difference in PBMs

Retrospective Drug Utilization Review

  • EmpiRx Health targets over 150 specialty drugs for enhanced oversight throughout therapy.

Patient Saver Plus (PSP) Program

  • This EmpiRx Health program protects members from high drug costs on specialty and non-specialty prescriptions, while lowering plan expenses with minimal disruptions.

Dose Optimization

  • EmpiRx Health targets 300+ medications to ensure lower pill burden/pill count and minimize waste (drug and financial).
In Case You Missed It:

Latest Blog Post:

Don’t miss our latest blog post “What Does it Mean to be a Clinically-Driven PBM?” Check it out to learn more about our revolutionary PBM Model.

Upcoming Events:

See you in New York City!

​​​​​AMCP Northeast Day of Education – October 3rd & 4th 

​EmpiRx Health’s Executive Vice President and Chief Pharmacy Officer, Polina Kogan, will be joining the panel, Revolutionizing Managed Care: Digital Health and Artificial Intelligence for Optimal Operations and Outcomes Panel, during the upcoming AMCP Northeast Day of Education on October 4th.

EmpiRx Health will also have a table at the event, so if you’re attending, stop by to learn more about our groundbreaking, clinically-driven pharmacy care solution.

Featured Client Case Studies

Patient: 46-year-old female

Diagnosis: Narcolepsy

Population Health Management Engine Identified: High-risk patient with comorbidities.

  • Clinical Pharmacist discussed with the prescriber, learning that the patient’s condition was absent of cataplexy; Xyrem is for narcolepsy with cataplexy. Patient’s other conditions could be exacerbated by Xyrem.
  • Clinical pharmacist recommended a clinically appropriate alternative medication for the patient’s narcolepsy.
  • Prescriber agreed to switch the patient to Modafinil tablets, which has resulted in optimal outcomes.

Annual Plan Savings: $108,000

Putting You First Series:

EmpiRx Health VP of Business Development, Jamey Baker, is proud to be doing things differently than the rest of the PBM industry – putting the customer first.

In the fourth installment of our video series, “Putting You First,” Jamey explains how instead of focusing on volume and rebates, EmpiRx Health uses a clinically-driven pharmacy care model to ensure the most clinically-appropriate medication therapy recommendations for patients.

NEW Upcoming Webinar

“The PMPM Trend is Now Your Friend”
October 24, 2024 – 11:00 AM – 12:00 PM EST

The traditional method of evaluating PBMs is broken. Using the same spreadsheet to assess all PBMs overlooks their different operating models, which significantly impact PMPM (per-member/per-month) costs.

Plan sponsors achieve better PMPM cost trends when their PBM employs a clinically-driven pharmacy care model.

Learn how this innovative PBM approach can result in lower net spend and better patient health outcomes for plan sponsors and members.

Register now!