Customized Rx Benefits

C.L.U.E.S. Innovation and Results

Workers Compensation Programs

Patient Assistance Programs

Rx Services

Costly new drugs. Inappropriate use. Patient noncompliance. Use of multiple physicians, multiple pharmacies. Drug interactions. Unmanaged side effects. Drug expenses rising faster than any other healthcare cost — with no end in sight.

CBCA Rx does much more than just manage prescription claims. Our patient-focused Rx Services team makes life more convenient for plan members while helping to protect patients and contain costs.

We offer innovative, flexible Pharmacy Benefits Management plan designs and customized formularies. Integrated information systems help coordinate care, identify chronic disease conditions for early intervention, and process high volumes of Rx claims per year.

CBCA Rx’s customized program and integrated services gives members and the plan single-source convenience with an array of core products focused on driving down costs:

  • Fully integrated retail and mail services with telephone and online ordering.

  • Nationwide pharmacy network access with over 53,000 independent and chain pharmacies across the United States. And a convenient online pharmacy locator, available to participants 24/7.

  • Generic drug and formulary management.

  • Strict eligibility verification, benefit design compliance and price control.

  • Stringent drug utilization review (DUR).

  • Focused clinical programs.

  • Flexibility across the board, from Rx plan design to online CBCA Rx Step Therapy protocols.

  • Certified CBCA Rx Pharmacy Technicians and Pharmacists available via 24/7 Rx services hotline.

  • Outstanding customer service — e.g., Rx hotline telephones typically answered in 30 seconds or less.

  • Proactive account management for the highest levels of service.

  • C.L.U.E.S. - clinical & financial analysis