How can USI help our organization gain better control of our pharmacy benefit costs?
"Lifestyle" drugs are defined as drugs that might improve life, function, or appearance but do not treat an actual illness.
For employers concerned about increasing pharmacy plan costs, USI recommends excluding "lifestyle" drugs from coverage, resulting in savings of 3% to 5% on pharmacy plan costs.
We’ve estimated the financial impact for you. Feel free to update the assumptions.
- Focuses health plan expenses on medically necessary treatments
- Encourages members to choose over-the-counter (OTC) equivalents instead of prescription drugs to treat allergeries and gastrointestinal ailments
Lifestyle drugs, loosely defined as drugs designed to improve quality of life, function, or appearance, including:
- Weight loss
- Erectile dysfunction
- Acne, skin aging, and hair loss
Over-the counter drugs such as:
- Allergy drugs (Claritin, Flonase, Allegra, etc.)
- GI drugs (Nexium, Prilosec, Prevacid, etc.)
The average annual Wholesale Acquisition Cost of recent weight loss drugs in high demand is approximately $14,200.
I’d like to explore further how USI can help our organization gain better control of our pharmacy benefit costs.
We will need to collect just a few pieces of information from your organization, including a detailed pharmacy plan design, a utilization report of pharmacy claims, and a recent pharmacy audit report, if available.