Albany Times Union

Health plan to make a switch

CDPHP says new pharmacy benefit manager offers game-changing technology

- By Rick Karlin

The CDPHP health plan starting Jan. 1 will use Capital Rx as its new pharmacy benefit manager.

CDPHP currently uses CVS Caremark for its pharmacy benefits.

With more than 150 active clients covering more than one million people, Capital Rx is one of the fastest-growing health care companies in America and offers game-changing technology in both claims processing and benefit configurat­ion, according to CDPHP.

“With Capital Rx, we have full transparen­cy into the pharmacy supply chain and are able to innovate in ways that bring affordabil­ity, efficiency and ease of use to all of our members” said CDPHP’S chief pharmacy officer, Eileen Wood.

By partnering with Capital Rx, CDPHP aims to stem the tide of rising drug prices through greater price transparen­cy, as well as a new pricing model designed to more accurately and fairly set the cost of drugs. Capital Rx sets its prices with full transparen­cy using actual unit drug costs based on the National Average Drug Acquisitio­n Cost, which is maintained by the federal government.

CDPHP will leverage Capital Rx’s intuitive enterprise pharmacy platform to increase efficiency and achieve the highest standards of clinical care for its members. The platform enables realtime communicat­ion among physicians, pharmacies, patients and health plans, and facilitate­s faster and more efficient prescripti­on processing for members.

CDPHP recently opened the doors to three retail pharmacies, with the goal of providing its members and the community-at-large with a suite of services to meet all of their health care needs.

In the coming days, weeks and months, CDPHP will be working to notify appropriat­e parties, including members, brokers, employer groups, providers and other strategic partners, and will develop implementa­tion workgroups, timelines and action plans.

 ?? Will Waldron / Times Union ?? Pharmacies operated by CDPHP include this one inside the 1785 Specialty Medical Practice in Clifton Park, which the health plan refers to as the “doctor’s office of the future.” In January, the plan will switch its pharmacy benefit manager from CVS Caremark to Capital Rx.
Will Waldron / Times Union Pharmacies operated by CDPHP include this one inside the 1785 Specialty Medical Practice in Clifton Park, which the health plan refers to as the “doctor’s office of the future.” In January, the plan will switch its pharmacy benefit manager from CVS Caremark to Capital Rx.

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