Scripta Finds 92% Savings with One PBM Edit
Scripta Stops Soaring Healthcare Costs, Saving $13.5M for Aviation Giant
A Fortune 500 maker of luxury business jets engaged Scripta to analyze its complex pharmacy benefits data and help stop rising healthcare costs for both the company and its employees.
When Scripta’s initial analysis of the company’s pharmacy data revealed that a single controversial narcolepsy drug had been costing the client more than half-a-million dollars annually, our P&T Committee provided immediate formulary and pre-authorization guidance, eliminating this unnecessary spend.
Our ongoing data analysis for the company also revealed that, when the company changed its PBM, it incurred a 20% increase in the price for one specialty drug overnight. We instantly flagged the anomaly and were able to help the client negotiate a better deal with the new PBM.
Scripta also exposed dramatic mail order price variances, giving the client price transparency and the tools they needed to negotiate the best price points with their PBM. This made the client a more knowledgeable buyer when they, ultimately, put the PBM out to bid.
Scripta reviewed employees’ prescriptions to identify savings opportunities and provided them with Personalized Savings Reports with lower-priced drug options. To help employees better understand their reports, nurse practitioners were even made available in the company’s onsite clinic during the onboarding period. On average, each employee saved $513 annually on prescriptions, while the company saved an average of $1,312 per enrolled employee.
Scripta also created a diabetic supply program for the company to coordinate better pricing around this specific disease impacting a significant population of their employees. The annual cost for test strips dramatically decreased from nearly $40,000 to just $8,563—a 78% savings!
Scripta Finds 92% Savings with One PBM Edit
A prominent metals manufacturer, committed to offering its valued employees high-level benefits, was feeling intense pressure from the mounting high costs of pharmacy benefits, which could have jeopardized their whole benefits program. They hired Scripta.
Like most companies, this client gets a massive amount of data from their PBM each month, but it’s nearly impossible for anyone to find the savings opportunities hiding among thousands of data transactions. Scripta’s savings-strategy-based data analysis helped manage this big data problem and identify several opportunities for the company to save.
Buried in the data, Scripta identified multiple high-cost drug outliers that were causing nearly $250,000 in unnecessary spend, annually. In nearly every case, there were certain forms and/or dosages of a drug that were up to 300 times more expensive than the alternative form/dosage of the same drug Scripta found!
Working within their existing PBM contract, Scripta worked with the client to make these outliers “do not cover” or DNC drugs. By listing certain forms of these drugs i.e. gel, tablet, as DNC, we ensured employees would no longer fill overpriced prescriptions.
This uncovered a projected 92% savings, $250,000, over the next 12 months with nearly zero member disruption.
Scripta Helps Health System Beat the National Average
St. Joseph’s/Candler Health System, a top 100 integrated health system, had all the right resources with in-house pharmacists and a tuned-in HR department, but when Scripta’s free data analysis identified dramatic pharmacy benefits savings they weren’t capturing, they realized they needed Scripta.
Scripta’s initial data analysis had revealed that a single drug for one employee was costing $30,000 per fill. Our P&T Committee immediately recommended a significantly lower-priced option that was just as safe and effective. With just a few PBM optimizations, the client was able to save $300,000 within their first year of working with us.
Over the course of a five-year partnership, Scripta continuously monitored the client’s PBM and identified several pricing anomalies resulting from new drugs and constantly changing usage patterns. Within just the first three years, Scripta helped the health system lower their costs significantly year-over-year; ultimately, beating the national average prescription cost per insured family by nearly 50%.
Formulary changes implemented have yielded more than $700,000 in savings.
Employees received Personalized Savings Reports identifying prescription savings opportunities to discuss with their doctors, giving their doctors unprecedented access to drug pricing. Collectively, employees saved $1.5M on prescription copays, putting money right back into their pockets and reducing some of the stress that comes with high deductible plans.
One Scripta Insight Saves Company & Employee Nearly $20K in Months!
The Phia Group, an experienced provider of healthcare cost containment techniques, partnered with Scripta to contain their own pharmacy benefits spend. Scripta’s doctors & pharmacists identified that one member was taking a brand name drug that was costing both the employee and the plan big time. The single insight and a simple Rx switch resulted in nearly $20k in total savings, in just a few months’ time.
Scripta provides monthly Personalized Savings Reports to Phia employees and their dependents as a member benefit on the company’s health plan.
During Q4 2019, Scripta sent the member a savings report showing that, using the Generic savings strategy, the member could switch from brand name drug Latuda to generic drug Aripiprazole, and save $50 out of pocket monthly.
The member received the report, registered within Scripta’s Member Portal, and by January 2020, made the suggested Rx switch—saving Phia $16,632 annually.
2020 plan design changes also decreased the member’s copay from $250 (non-preferred brand) to $0 (generic) for a 30-day fill for even greater savings, putting $3,000 a year back into the employee’s pocket.
Scripta's consulting services provided a meaningful and positive impact on the health of our coworkers.
- Steve Pound, St. Joseph’s/Candler Health System