Specialty Solution for New Membership

Pharmacy Services Case Study

The Request

Identify potential cost reductions in the specialty space and understand operational capabilities and standards within the fulfillment process.

Company Profile

Industry: Pharmacy Services

The Brown & Brown Pharmacy team worked with a health plan that has several lines of business, including commercial and Medicare Part D. The customer wanted to determine if there were opportunities in the market to reduce costs in the specialty space. They also wanted to gain an understanding of the operational capabilities and standards within the specialty fulfillment process.

The customer anticipated significant growth for the new year and sought to ensure it had the right specialty solution to support the new membership operationally. It also wanted to help optimize pricing for product discounts, rebates and other manufacturer monies available.

The Solution

Provided support through a focused RFP effort that included creating specific questions about a comprehensive financial analysis.

The Brown & Brown Pharmacy team provided support through a focused RFP effort that included creating specific questions about a comprehensive financial analysis for specialty drug solutions. Five potential bidders were solicited to respond to the RFP.

After Brown & Brown received the bidder responses, the Pharmacy team completed its review/scoring of the questionnaire responses and a complete comparative analysis of the financials. The project was completed on time and a summary of the evaluation was presented to the customer.

The Results

Assisted the customer in improving its specialty product discounts and manufacturer rebates.

After reviewing the new options, the customer decided to stay with its current supporting specialty services vendor. The Brown & Brown Pharmacy team was able to assist the customer in improving its specialty product discounts and manufacturer rebates.

The team also provided guidance and support by revising the current specialty services language in the contract, including new definitions, revised caveat language, removal of language that was not favorable to the customer, improved pricing language, and added clarity and details to operational expectations and deliverables.

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DISCLAIMER: Brown & Brown, Inc. and all its affiliates, do not provide legal, regulatory or tax guidance, or advice. If legal advice counsel or representation is needed, the services of a legal professional should be sought. The information in this document is intended to provide a general overview of the topics and services contained herein. Brown & Brown, Inc. and all its affiliates, make no representation or warranty as to the accuracy or completeness of the document and undertakes no obligation to update or revise the document based upon new information or future changes.

DISCLAIMER: Brown & Brown, Inc. and all its affiliates, do not provide legal, regulatory or tax guidance, or advice. If legal advice counsel or representation is needed, the services of a legal professional should be sought. The information in this document is intended to provide a general overview of the topics and services contained herein. Brown & Brown, Inc. and all its affiliates, make no representation or warranty as to the accuracy or completeness of the document and undertakes no obligation to update or revise the document based upon new information or future changes.