Topics: 

Evidence-Based Pharmacy Risk Management
Misaligned Incentives
Specialty Drug Management
Rebate Chasing
Prior-Authorization
Formulary Management
Reference based pricing

In this episode, Michael introduces you to Tery Baskin, PharmD, Founder & CEO of RxResults.  Join us as we discuss the misaligned incentives that may exist in typical Insurance Carrier and PBM formularies and how proper formulary management can drive significant savings for an employer.
Here’s a glance at what we discuss in this episode:

Tery Baskin’s background and how he launched RxResults
Understanding the left and right side of the Healthcare equation
The Rebate “sleight of hand” and Rebate Chasing
Pharmacy Benefit Manager Contracts and what to be aware of
How Pharmacy Benefit Managers controlling the prior-authorization process for drugs distributed through their own specialty pharmacies may constitute a conflict of interest
How drug manufacturers and PBM’s may use the FDA “safe and effective” label to promote utilization of expensive drugs over lower cost drug therapies
How reference based pricing works within a formulary and can drive 12-17% savings in pharmacy spend
How RxResults can help Physician groups at risk for Pharmacy spend
Independent prior-authorization and how may help decrease specialty pharmacy spend by 20%
How formulary management can help employers avoid wasteful spending on expensive drugs that don’t provide better results than lower cost therapeutic equivalents
Why some Pharmacy Benefit Managers may not allow Formulary Management to be carved out
What the fee structure is for RxResults and the typical ROI that an employer would achieve
RxResults website: https://rxresults.com/

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