NEW ERA Rx MEMBERS: Need to reach our pharmacist team? Call 814.297.9960 or email help@newerarx.com

People, Prescriptions, Price

Behind every prescription is a person, maybe someone on your team, who may have to decide between buying medicine and paying rent. With pharmaceutical costs now making up 24% of health care spending, those decisions are becoming all too common. That's why we address the big issues in medication cost - Adherence, Preventable Injury, Polypharmacy, and Benefits Design. By focusing on these, we can make sure that your people get the right prescription at the best price, like getting a member's insulin cost down from $350 to $35 per month, helping to ensure they are able to stay healthy.

So let us show how to reduce your healthcare spend, save your employees money and stress, and enjoy the benefits of a healthy, thriving workforce. That's a prescription for success.

LEARN HOW WE CAN HELP

THE NEED
THE PROBLEM WITH PHARMACY MANAGEMENT

The current focus of Pharmacy Management is on rebates and pricing gimmicks instead of the true cost drivers. This approach is limited in scope and only provides temporary results. What needs to be addressed are the real, long-term cost drivers of medication - Medication Adherence, Preventable Medication Injury, Polypharmacy, and Evidence-Based Cost-Effective Benefits Design.

MEDICAL ADHERENCE

25%
of all newly prescribed medication is not picked up by the pharmacy

50%
of all prescribed medication is never filled

20%
increase in medication compliance can decrease healthcare costs by 4%

PREVENTABLE
MEDICATION INJURY

Adverse drug reactions have been costly to the American health system
 costing human lives and $177 billion annually

THIRD
Medication errors are the third leading cause of death in the U.S.

POLYPHARMACY

$26 billion
Annual estimated cost

4%
Only 4% of patients have a conversation with their physicians about prescription cost

$19PMPM
reduction in cost against a control group without intervention on polypharmacy

EVIDENCE BASED,
COST-EFFECTIVE BENEFITS

Wasteful spending by PBM’s formularies account for
6-12%
of drug claims

Proper adjustments could decrease costs by
$413/script

HOW WE HELP

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PHARMACY BENEFIT CONSULTING

Our team takes a personal look at your pharmacy usage, and makes small modifications in formulary that lead to big savings.

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COST OPTIMIZATION

Not only will New Era Rx find ways to save dollars directly from prescription usage, the value of MTM and our clinical team will lead to indirect medical savings as well.

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MEDICATION THERAPY MANAGEMENT (MTM)

MTM is a range of services provided by our pharmacist team to individual patients to help them get the most benefit from their medications – and to detect and prevent costly medication problems.

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PATIENT ASSISTANCE NAVIGATION

Our pharmacy team will work with employees to maximize the use of manufacturer assistance programs, like direct insulin purchasing and coupon cards, to help save the most money.

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PERSONAL PHARMACIST

Like our tagline says: Our solution is unique in that it gives your members access to a personal pharmacist – traditionally the most underutilized and undervalued member of the health care team.

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PHARMACIST ON-CALL LINE

New Era’s clinical pharmacists are available by phone, providing answers to any of your employees’ medication-related questions or concerns.

COMPLIANCE & COST

A patient was not taking her insulin as prescribed by her doctor – leading to non-adherence. Through a conversation, the pharmacist learned that the patient was on a high-deductible prescription plan, paying a percentage of the drug cost, and could not afford her insulin. The pharmacist introduced the patient to a direct insulin purchasing program, which brought her monthly cost down from $350 a month to $35 a month.

 

When patients pay a percentage of the drug cost versus a fixed copay, they should be motivated to call their pharmacist for cost-saving solutions.

THE ADVOCACY ADVANTAGE

Patients are often hesitant to question their physicians and typically fill (or don't fill) their prescriptions without checking or understanding their options. For example, a patient was taking a medication that was causing financial hardship and inconsistent adherence. After identifying the cost-related noncompliance issue, the pharmacist was able to contact the patient’s physician on his behalf and switch his medication from a higher cost “extended-release” version to a much cheaper “regular-release” version – increasing affordability and adherence.

 

Medications, generics included, can be deceptively expensive depending on dose or formulation – and moving a patient from one to another can result in significant savings.

HOW YOU SAVE

EMPLOYER ADVANTAGES

DIRECT SAVINGS

  • Pharmacist helps patient get on the most cost-effective therapies
  • Eliminates polypharmacy and unnecessary therapies

INDIRECT SAVINGS

  • MTM drives improved medication adherence, reducing the likelihood of Rx Accidents
  • Leads to reduced medical utilization in the long-term as patients become healthier

EMPLOYEE ADVANTAGES

DIRECT SAVINGS

  • Helps member maximize assistance programs
  • Identifies lower-cost equivalent medications - saving money without disrupting therapy

INDIRECT SAVINGS

  • Pharmacist will advocate for the member and work directly with the provider to ensure the member is getting the correct medication
  • Identifies gaps in care

PEOPLE FOCUSED PHARMACISTS

From a child's antibiotic to a parent's heart pills, our pharmacy team understands that each prescription carries the power to change a person's life. That's why we view medicine from the human side and strive to help our members understand their medications.

We also believe that no one should have to choose between medication and basic needs, or providing for their family. So we strive to find the best benefits possible for our members, saving them money and alleviating the stress caused by high prescription costs.

Our team is led by Luke Swintek, PharmD. A graduate of the University of Pittsburgh School of Pharmacy with more than seven years of experience in both retail pharmacy and ambulatory care clinical pharmacy. His driving motivation for becoming a pharmacist? To help people.

Luke Swintek Pharmacist

OUR PARTNERS

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Imagine if choosing healthcare was as simple as buying a gym membership. Instead of buying lots of different equipment and paying for different services as you go, you pay once a month and get access to all the equipment, classes, and instruction you need.

That’s our model. For one monthly cost you get access to our Essentials membership, which delivers all the primary care you need - including services like sick visits, physicals, lab tests, telehealth, and over 200 generic medications. No paying for every single visit and service, no hidden costs or fees, no copays, no deductibles. It’s all included.

With our Prime membership, you get all that primary care and access to the advanced services of our Direct Care Network. This includes cardiology, physical therapy, imaging including x-rays and MRIs, durable medical goods like wheelchairs and crutches, and much more. Best of all, just like our Essentials plan, there are no hidden costs, copays or deductibles.

Our membership offers you more convenience and more care at a lower, predictable cost.

Visit PeopleOneHealth.com for more information.