Introducing Premier Rx in partnership with ScripWell Select, a specialty-pharmacy backed program that helps your employees pay far less for expensive medications while protecting your renewal.
Tired of watching a few high-cost prescriptions blow up your claims and your renewal?
For many small and mid-size employers, the problem isn’t the whole health plan – it’s a handful of high-cost medications. These prescriptions can quietly add thousands of dollars to your claims bucket each year, leading to double-digit renewals and tough choices at renewal time.
Premier Rx is a simple add-on benefit that targets those expensive medications and fills them through a specialty pharmacy partner at a much lower cost.
Employees get white-glove service and medications shipped to their door. You get less pressure on your claims and a better story at renewal.
How Premier Rx works
Premier Rx is simple by design, created specifically to tackle the problem of expensive prescriptions. Instead of rewriting your whole plan, you layer Premier Rx on top and move those costly scrips into a separate, specialty-pharmacy program.
Deliver meaningful savings on high-cost medications
Reduce pressure on your claims bucket and renewal
Keep your existing health plan and PBM intact
Identify members
We’ll help you and your agent identify employees who are taking expensive, ongoing medications that may qualify for Premier Rx.
Qualifier form
Employees submit a Qualifier Form so our specialty pharmacy partner can review their medications and contact their doctor.
Pharmacy review
The pharmacy team reviews eligibility, talks directly with the prescriber, and confirms whether the medications can be filled at a lower cost.
Delivery
Approved medications are filled in 30, 60, or 90-day supplies (90-day where possible) and shipped directly to the member.
What you’ll get
With white-glove support for your highest-cost medications, Premier Rx is built to feel like an upgrade, not another hoop to jump through. Your employees will get:
90-day supply delivered to their door (where available), with 30- and 60-day options when that’s a better fit
A fraction of their current cost on select high-cost medications
The pharmacy calling their doctor for them – employees don’t have to chase paperwork
Direct access to a specialty pharmacy team that can answer questions and help coordinate refills
Clear communication on which medications are covered by Premier Rx and which stay on their regular plan
Peace of mind knowing your crucial medications are covered and backed by a team ready to serve them
What medications are included?
Premier Rx focuses on the medications that drive the biggest share of your pharmacy spend – especially chronic disease, maintenance, and select specialty drugs.
Diabetes and blood sugar medications
Cholesterol and blood pressure medications
Behavioral health and ADHD medications
Asthma and COPD medications
Migraine and pain management
Other high-impact maintenance and specialty drugs
Built for employers who are tired of runaway Rx costs
Premier Rx works alongside almost any benefit structure, including:
- Fully insured plans
- Level-funded plans
- MERP / HRA arrangements
- ICHRA and other individual market strategies
- Self-funded plans (as a supplemental benefit)
If you have even a few employees on high-cost medications, Premier Rx can often pay for itself with the savings from one or two members.
Frequently Asked Questions
Do we have to change our health plan or PBM?
No. Premier Rx layers on top of your existing health plan. Your current PBM and plan design stay in place. Premier Rx focuses specifically on certain high-cost medications, filled through a specialty pharmacy partner.
Do amounts paid through Premier Rx count toward deductibles or out-of-pocket maximums?
No. Amounts paid for medications through Premier Rx do not apply toward your health plan deductible or out-of-pocket maximum. That’s part of how we keep this benefit separate from your core plan.
Are all medications eligible?
No. Premier Rx is designed for a curated list of high-impact medications. Eligibility depends on the drug, the member’s situation, their state of residence, and their doctor’s willingness to approve the change. Not every prescription will qualify.
How are prescriptions filled and delivered?
Approved medications are filled by our specialty pharmacy partner and shipped directly to the member’s home, typically in 90-day supplies when available (with 30- and 60-day options if needed).
What about controlled substances?
Premier Rx does not include or cover controlled substances. Those medications continue to run through your standard pharmacy benefit.
How does pricing work for employers?
Employers pay a simple per-member-per-month fee for each enrolled Premier Rx member. In exchange, those high-cost scripts move out of your main claims bucket, and employees pay much less at the pharmacy counter. (Your Premier One representative can walk through numbers for your specific group.)
See what Premier Rx could save your group
If you’re dealing with rising pharmacy spend, Premier Rx can give you a way to fight back without rebuilding your entire plan.
We’ll look at your current situation, explore which medications might qualify, and outline a rollout plan that fits your group.
