Our History
Star-Rx is a pharmacy benefit SOLUTION built to be a transparent/cost-plus program that focuses on “therapeutic equivalent” drugs to achieve a lowest net cost reference price.
This pharmacy solution addresses the issues around conflicts of interest and misalignment by creating a system of accountability and separating the powers between PBM, Specialty Drugs and Rebates.
How does your PBM compare?
| Features and Benefits | Your PBM | STAR-Rx |
|---|---|---|
| Carve-out rights for maximum flexibility – specialty pharmacy, mail order and clinical review with third parties that add value and cost savings | ? |
✓ |
| Independent clinical recommendations and formulary development that eliminate concerns over PBM placing drugs on formulary for economic gain | ? |
✓ |
| Evidence-based coverage decisions based on lowest net cost and clinical value by independent doctors and pharmacists | ? |
✓ |
| Optimize formulary and plan designs by removing lifestyle drugs, therapeutic equivalents with OTC and low-value drugs | ? |
✓ |
| Eliminate excessive PBM drug cost mark-ups by contracting directly with key pharmacy partners and plan design incentives to reward high value/low cost choices | ? |
✓ |
| Custom network designed to Plan Sponsor’s needs | ? |
✓ |
| A cost-plus model = ingredient cost + administrative fees (disclosed) | ? |
✓ |
| Ability to obtain drugs through alternative sources in order to gain access to lowest net cost | ? |
✓ |
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