Client Profile

Challenge

The school district had experienced extreme budgetpressures, driven primarily by increasing expenses and budget cuts. Jobs andthe future of some schools in the district have been threatened. The Boardneeded to achieve substantial savings from their benefit plan for the upcomingfiscal year. This savings needed to be achieved without negatively impactingthe benefits offered to the employees and their families

Strategies

• Pharmacy Benefit Manager (PBM) Contract Review
• Pharmacy Benefit Manager Request for Proposal (PBM RFP)
• Experience Data Analysis & Validation 

Results

• The client shifted partnership from ESI to CVS under a market competitive contract estimated to save them $3.2M in the first year.
• Augmented the benefit to the membership by allowing expanded access to extended day supplies at retail pharmacies.