Clinical, for the win!
Instead of asking how much, we’re asking why this drug?
Negotiated costs and rebates only matter for drugs your members actually need; let’s focus on the need first. Don’t let prior authorizations and step-therapy fool you into believing that drug is the best drug. Time-after-time we’ve found solutions that utilized lower cost drugs and improved patient outcomes, stopping or replacing drugs that had already received approval through the prior authorization and step-therapy process.
We curate an individualized and evidence-based treatment plan with each participating member. Each clinical service serves a purpose toward creating low-cost, high quality health outcomes. We work with members’ care teams to augment the care they receive in a sustainable and professional way.
We guarantee members are on everything they need to be and nothing they don’t!
Disease Management
Our cost containment focused disease management offers engaging and life impacting solutions for members. The education and tools we provide help patients feel empowered to take control of their health conditions; resulting in improved health and fewer utilization of health care services (ex. hospitalizations).
Medication Therapy management
This encompasses precisely what our expert pharmacists are trained to do. We ensure our patients’ drug regimens are aligned with the highest level of medical evidence and provide thorough medication education.
Pharmacy Cost containment
This builds on disease and medication management and assesses drug savings opportunities. Utilizing our expertise and industry insight, we are able to discontinue, deescalate or substitute drugs, while never jeopardizing health outcomes. Furthermore, we identify ways for employees to reduce their out-of-pocket costs on prescription drugs.
Incentives
The biggest question employers have about health plan partners is, “how do I get my employees to participate?” Incentivizing employees to be proactive about their health is no easy task. Studies suggest it takes at least $50 to get employees just to participate; however, the results employers are looking for require incentives well over $200. Normally, this is too costly for employers because there is no guaranteed return on investment. The lack of participation means even the best services are destined for failure. At Apothicor, we have developed an incentive strategy that is unique to our ability to clinically reduce drug spending. This allows plans to offer significant financial incentives to members while producing predictable returns on investment.
Included Services
Smoking Cessation
We implement a variety of effective methods, proven to help your employees quit smoking and reverse years of damage.
Immunization Management
We manage immunizations for your employees, preventing unnecessary and mistimed vaccinations.
Travel Health
No matter where your employees travel for business, let us make sure they're safe and ready to go!