The impact of generic samples at the point of care with the control, data and accountability that is needed.

Payors recognize the importance of generic and OTC therapeutic interchange programs but many plans have not seen significant success to date. Traditional practices of formularies, benefit design and retrospective retail pharmacy interventions have been maximized. To achieve greater generic penetration, the industry is seeking a model to create a prospective therapeutic interchange model with physicians at the point of care.

The MedVantx InSequenceRx™ program is an integrated, fully-automated, point-of-care to home delivery channel focused on optimizing and influencing the last non-managed pharmaceutical channel – the physician office and the physician sample closet.

Participating payors can benefit by increasing generic dispensing rates and ensuring formulary compliance at the point of care. Through the MedStart system, transaction data is automatically captured and added to the patient’s profile, ensuring that participating payors have complete data on all member medications – even samples provided by the physician.

Your members will have free on-going access to licensed pharmacists and reimbursement specialists. We will answer questions about their medications and provide information on how best they can purchase their prescriptions.

Our home delivery pharmacy can provide participating payors with prescription data on members choosing to purchase through us. As consumer directed healthcare grows, more consumers will take control of their healthcare costs. Often times, consumers can purchase medications – especially generics – at lower costs than their co-pay. Through MedVantx, participating payors can get this medication information ensuring a more complete patient profile, providing data for Drug Use Review (DUR), pay for performance incentives and NCQA quality initiatives. Many low-cost generic medication providers don't provide this information.

1. Initial Therapy

The MedVantx formulary includes targeted high quality generic, OTC and brand medications.

• MedVantx gives participating payors the proven impact of a sample, with all the controls and data provided by traditional channels
• The utilization data is provided to participating plans in an NCPDP format, and can be placed in the patient’s profile to mitigate any DUR issues
• The traditional sample closet remains outside the payor/pharmacy information exchange. As a result that usage information is not captured. MedVantx solves this issue

2. Care Management

MedVantx works with your members to communicate intervention programs, specific initiatives and benefit design changes.

• We work with you to help you communicate with your members after they receive their initial therapy to optimize their healthcare

3. Consumer Home Delivery

MedVantx offers members access to widely used, effective generic medications and can provide the usage data you need to ensure optimal quality of care.

• Payors can receive claims based data as a participant within MedVantx InSequenceRx network
• MedVantx also offers inexpensive dedicated home delivery and third party logistics services to payors
• Licensed in all 50 states, we provide payors with highly customized programs to serve all your members through a state-of-the-art home delivery pharmacy
• MedVantx Home Delivery offers a highly customizable Help Line, clinical intervention programs and unique distribution capabilities
• A fully transparent fee-for-service home delivery and fulfillment program enables our clients to gain more control and clarity on their pharmaceutical spending with the MedVantx Actual Acquisition Cost (AAC) pricing model.