Each year, the pharmaceutical industry experiences unique market situations that dramatically increase the cost of certain medications, sometimes overnight. Unforeseen market dynamics require payers to react rapidly or be faced with significant, and often unwarranted, increases in spending.

The Market Events Protection Program^SM helps mitigate the impact of major changes by allowing us to act more immediately on your behalf to benefit your plan and members.

Key Benefits

• Allows quick action to protect you when potentially damaging market situations occur.
  
• Helps you keep pace with rapid changes in the healthcare marketplace.
• Reduces financial exposure to high cost medications that do not benefit members.
  
• Offers easy, one time enrollment process.
  
• Complements solutions you might already have, such as formulary and utilization management tools, and other programs.
  

Highlights

This program targets three types of market events:

• Price increases – When a drug more than doubles in price at any point in the past 12 months, has meaningful utilization and represents a savings opportunity.
  
• Patent expirations – When patents for brand drugs expire, resulting in new generic launches and significant savings opportunities.
  
• Unwarranted price discrepancies – When a therapy option is more than double the cost of an alternative, including:
  
• Different dosage forms of the same medication (e.g., tablet vs capsule).
• Drug manufacturers circumventing plan design by offering copay incentives on costly brand drugs.
• Significant differences in generic pricing within the same therapy class.