Archive: Pharmacy Benefits

  • March 23, 2022

    Stop Loss and Medical Plan, Rx Savings Result in Richer Benefits

    MSD of Wayne Township was dedicated to employee health and wellness prior to engaging with Apex Benefits and its Kinetiq Health team in late 2019. While mostly satisfied with their wellness program, the school system was looking for opportunities to …

  • February 21, 2022

    Unlocking the Universe of Specialty Drugs and Therapies

    Everyone on planet Earth seems to have a different definition of what a Specialty Drug is and is not. Let’s break this term down, along with subsets of Specialty Drugs and their key terms.

  • February 4, 2022

    Better Benefits in 90 | Orphan Drugs

    Orphan drugs are drugs used to treat rare diseases. How rare? They appear in fewer than 200,000 persons in the United States. But even common drugs could be considered an orphan drug, which is important for health plan sponsors to …

  • January 24, 2022

    Better Benefits in 90 | Gene Therapies

    Gene therapies are a new player in the world of pharmacy. So what do they bring to the table? While the treatments can be revolutionary toward curing diseases like blindess or even cancer, the costs of these therapies can be …

  • January 18, 2022

    Better Benefits in 90 | Specialty Drugs

    Specialty drugs are becoming more common for treatments. But what are they? And what can they do for a benefit plan? There’s not one true answer for those questions. However, Kinetiq Health Pharmacy Benefit Practice Leader Erin Albert, PharmD, discusses …

  • January 11, 2022

    Ways Your Employees Can Save on Pharmacy Benefits

    If your employees have ongoing prescriptions, here are some places for them to save money if they need to continue pharmacy prescriptions.

  • September 20, 2021

    Wee Dose of Radical Transparency | EP 14

    It might seem like Alphabet Soup, but knowing what NDC and J-Code means is an absolute must. Essentially, both are used to determine how your medical procedures or medications are billed to your health insurance. However, there are significant differences …

  • August 18, 2021

    Wee Dose of Radical Transparency | EP 13

    You’re probably getting ready to review your pharmacy benefits plan and how much you’re spending. How much you spend depends on your PBM contract, which can be anywhere from radically transparent to opaque. Consider these three tips to help lower …

  • August 10, 2021

    Better Benefits in 90 | 3 Questions to Ask Your PBM

    It’s always important to ask questions to your PBM to make sure you’re getting the best benefit possible from the services. While we can come up with up to 10 different questions, we know there are three you absolutely should …

  • July 16, 2021

    The Perfect PBM: Does it Exist?

    The perfect PBM does not exist, because no PBM might be perfection. However, that is unrealistic knowing that there are more than 20,000 prescription drugs on the market at any one time, more than 65,000 retail pharmacies out there in …

  • July 13, 2021

    Better Benefits in 90 | Kinetiq Health Pharmacy Benefits Consulting Program

    Does your organization take an active approach to saving money through its pharmacy benefits program? You’d be surprised at the potential cost saving opportunities that exist. At Apex, our Kinetiq Health Pharmacy Benefits Consulting Program just does that — save …

  • July 9, 2021

    Walmart’s Life- and Cost-Saving Insulin

    Walmart recently released its own brand of analog insulin for people with diabetes to boost its pharmacy business and compete with Amazon’s recent push to sell more medications.

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