PillarRx was awarded a four-year contract renewal with a state health plan. This employee health plan has several plan designs across active and retired employees.
Since 2017, PillarRx has saved the Plan over $14 million! We uncovered cost-savings following audits utilizing 2017 and 2018 PBM pharmacy claims. As well as finding discrepancies in plan design implementation following a change in PBM providers. We also discovered that contractual discount thresholds were not met, resulting in money being owed back to the plan.
Today, PillarRx continues to work closely with the client and the PBM to ensure errors are mitigated.