Our objective is to improve patients access to clinically appropriate medications, increase medication adherence and reduce overall health expenditures.
The Problem
Rising health care cost is a serious concern for employers. As healthcare expenditures have continued to increase, most employers have shifted more out-of-pocket expense to employees. Pharmacy costs are no exception.
As the utilization of specialty medications continue to grow, the specialty category is one of the fastest growing and most expensive areas for most employers.
Over the years, the impact – inverse relationship between out-of-pocket cost and medication adherence, has been well documented.
Yet, plan sponsors have been forced to modify their benefit designs to not only increase member financial responsibility within traditional plans but have increasingly adopted Consumer Directed Health Plans (CDHP) that require 100% member contribution through the deductible and/or out-of-pocket maximum phases for medical services and prescription drugs.
Benefits are not equal. Therefore, the impact on each plan sponsor is unique. What remains consistent, is the need for sponsors to take advantage of the opportunity presented by copay navigator to mitigate their exposure.
Solutions
Copay Navigator was created to help health plans, third party administrators and employers of any size to provide a copay assistance program designed to increase patients’ access to therapeutic choices and improve medication adherence. We do this by providing direct financial assistance to patients who face rising out-of-pocket costs.
Our program offers a targeted, means-tested, analytical and systematic approach to patient assistance. We used decades of pharmacy expertise to design an optimized program that is turnkey and independent.
We offer three unique solutions:
Advanced algorithms and clinical logic that are applied to identify customized opportunities, conduct financial risk assessment, estimate clinical impact and optimize the patient-specific copay intervention
Enterprise-wide business intelligence reports, benefits customization, optimization tools and long-term spend risk assessment
Clinical consults on specialty drug management, formulary optimization, medical management and more
Our Why
We know pharmacy. With over 30 years of combined experience in pharmacy and clinical practice, copay navigator was created by pharmacist for patients. Our most important objective is to ensure that patients get on the right medications and deliver true savings to sponsors.
We built an efficient Specialty Drug Management Ecosystem by combining decades of industry business intelligence, benefits management strategy, clinical expertise and technology solutions to address this serious gap in the specialty drug marketplace.
We believe that by removing all the significant financial burdens, we can help clinicians focus on what truly matters. Helping patients get access to the right drug therapy at the right time. This is the premise of the entire profession of pharmacy. This is why we exist.
Contact Us
Address: 30 N Gould St., Sheridan, WY 82801
Tel: 888-848-2986