member login
provider login

Manage Skyrocketing Prescription Drug Costs

with Pharmasense from Diversified Group

Only 1% to 2% of the American public uses specialty drugs, yet they account for approximately 38% of total drug expenditures.

In today's world, prescription drug costs are the top driver of increasing health benefit plan costs. As more plan members struggle to afford medications, controlling the cost of prescription drugs and specialty drugs has become a top priority for employers. 

When health plans allow hospitals or pharmacy benefit management (PBM) companies to review authorizations for specialty drugs being dispensed by their own pharmacy, no independent review process is involved. The same is true when medical providers submit specialty drug prescriptions as claims under the medical plan rather than the prescription drug benefit plan.

To help self-funded employer groups avoid these potential conflicts, Diversified’s Pharmasense program provides prior authorization, or pre-certification, of all specialty drug prescriptions. By considering several factors, such as the patient’s condition and clinical evidence related to the drug, the Pharmasense program can deliver tremendous cost savings and quality outcomes for the patient.

Diversified Group works closely with clients to provide quality, affordable healthcare plans. We have the experience you can trust to explore all potential cost control measures, including Pharmasense. Contact us to learn more today!

  • 1