How are we different from other pharmacy benefit managers (PBMs)?

Clearly See the Benefits We Provide to YouSome PBMs manage your benefits by controlling the pricing, plan design, formularies, and prescription changes themselves. HPS provides those same services while putting you back in control. You can customize your formulary or plan design. This provides your hospice the flexibility to instantly make necessary changes. Best of all, HPS passes through its cost on all brand and generic pharmaceuticals so we can provide your hospice the lowest possible pharmacy cost. We call that “transparent services” so you can CLEARLY see the benefits we provide to you. If this sounds too good to be true, ask the following questions of your current provider, and see how we compare.

How to Choose a PBM

How long will it take to talk with a clinician?

Our entire staff at HPS consists of experienced clinical professionals. All phone calls are answered by a nurse
or pharmacist. HPS provides clinician access 24 hours a day, 7 days a week, 365 days a year. We are available
for clinical consults to help with symptom management, opioid conversions or to suggest cost effective alternatives.

Will you get billed what the pharmacy is getting paid?

HPS abides by the philosophy of keeping our customers knowledgeable so they can make informed business decisions. This includes financial data. HPS is contracted with over 60,000 local/chain pharmacies nationwide, including a network of hospice specific providers. We work with our pharmacy network to minimize costs, and then pass those savings on to you. There are no hidden fees in our “transparent pricing.” In other words, the rate that we reimburse the pharmacies in our network is the same rate that we bill you for the medications.

To get an idea of what we mean, please see sample price comparison in Table 1.

Will the PBM adapt to you or do you have to adapt to them?

Instead of limiting your choices, HPS provides customizable plans that can adapt to your needs. We’ll use your forms, your formularies, and your pharmacies. We minimize disruptions to your work flow by adjusting to your processes and practices, ensuring you are in total control of every aspect of your business.

Are they willing to provide you details about everything they do?

HPS provides you with one consolidated pharmacy billing statement, real time access to pharmacy claims, alerts for high costs and/or out of formulary medications. We can provide prompt access to current and historical pharmacy utilization data, with the ability to customize any reports needed. We can also provide a copy of any direct pharmacy contract to CLEARLY guarantee what we billed you is what we paid the pharmacy. Our transparency is accounted for and guaranteed. All of this goes to help you understand the services you are paying for.

Table 1
MEDICATION AWP TRADITIONAL PBM HPS CONTRACT RATES YOUR HOSPICE SAVINGS
Lorazepam (Ativan) 2mg #30 $36.63 AWP– 35% = $23.81 $11.98 $11.83
Ipratropium (Atrovent) 0.02% 2.5ml #25 $44.00 AWP– 35% = $28.60 $12.91 $15.69
Albuterol 0.083% 3ml #25 $30.25 AWP– 35% = $19.67 $9.41 $10.26
Ondansetron (Zofran) 8mg #30 $1,237.80 AWP– 35% = $804.57 $443.05 $361.52
Zolpidem (Ambien) 10mg #30 $137.22 AWP– 35% = $89.19 $48.83 $40.36
 

*Pricing is an approximation only and may or may not reflect your current pharmacy contract pricing or your pricing through HPS.