content top

What Exactly Is a PBM?

What Exactly Is a PBM?

If your employer offers prescription medication benefits, you may think that you are getting your prescriptions directly through an insurance plan. The fact is that most health plans contract with a pharmacy benefits manager (PBM) to administer prescription drug benefits. So, what exactly is a PBM and what does it do for you? Simply stated, a PBM is a company that administers, or handles, the prescription drug benefit component of your...

Read More

A Dr.’s perspective on Generic & Brand Drugs

A Dr.’s perspective on Generic & Brand Drugs

The Generic vs. Brand conversation has been around many years for insured employees and employers.  Our team has spend quality time tackling this very issue with clients in every sector.  Check out this video on Generic vs. Brand drugs from ABC News Chief Health and Medical Editor Dr. Richard Besser. Dr. Besser doe s a real quick and concise job of breaking down the Generic/Brand conversation for you.  The best thing is that the video is...

Read More

Using Mail Order for your drugs

Using Mail Order for your drugs

Mail Order medicine has grown significantly over the last 5 years in the insurance industry.  There are several positives aspects for employees that use maintenance drugs.  Under a mail order service you can receive a 90-day supply of medication.  Another great advantage is how easy the refill process can be handled.  Most mail-order pharmacies allow you to order refills online, by mail or by phone anytime of the day or night. How Can I...

Read More

Using Rx Discount Programs

Using Rx Discount Programs

In the previous article written about generic drugs.  The savings that generic drugs can offer you are significant.  However, some just can’t utilize generic drugs.  Doctors may only perscribe the brand.  A patients body may only react to a brand drug.  What happens if you are only allowed the “brand name” medicine?  The answer is relatively simple: Rx Discount Programs. Most people think of the $4 generic program that...

Read More

Red Pill or Blue Pill, Which is Generic?

Red Pill or Blue Pill, Which is Generic?

Everyone remembers the first installment of the Matrix movies.  The ever popular scene in which Morpheus (played by Laurence Fishburne) and Neo (played by Keanu Reeves) have a dialougue about the blue or red pill.  There is no need to be the spoiler if anyone hasn’t seen the movie by some chance.  The question that should be asked is… ” Can I have that in Generic?!” Generic drugs are less expensive because generic...

Read More

Over The Counter Medication Changes For Your FSA

Over The Counter Medication Changes For Your FSA

On December 23, the IRS issued new guidance that ALLOWS the use of health care debit cards for the purchase of over-the-counter (OTC) medicines and drugs effective January 1, 2011. This is a welcome modification of the previous guidance that would have prohibited the use of FSA/HRA debit cards for the purchase of OTC medicines and drugs. Under the new guidance, participants can continue using FSA and HRA debit cards to purchase...

Read More
content top