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If you cannot find an answer to your question here, feel free to Contact Us.
| 1. How do I request additional ID cards? |
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| You may request additional ID cards for your group through your account manager by calling him/her directly or at 1-888-243-6890. |
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| 2. Do you own your mail pharmacy or do you contract that out? |
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| Serve You owns and operates its own mail order pharmacy, Direct Rx. Direct Rx is located at our headquarters in Milwaukee. |
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| 3. How do I get my prescriptions filled via your mail pharmacy? |
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To get your prescriptions filled by DirectRx, you must complete a New Order Form available under Member Forms.
Member Forms » |
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| 4. How many retail pharmacies do you have in your network? |
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| Serve You’s national network is comprised of more than 54,000 pharmacies. Custom and restricted networks can also be created. |
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| 5. How often are renewal reports generated? |
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Plan Renewal Analysis reports are generated once each year, 90 days prior to the plan renewal date. Renewal reports can be generated more frequently upon request.
Plan Renewal Analysis » |
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| 6. How often is the formulary updated? |
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| Quarterly. |
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| 7. What are Serve You's clinical capabilities? |
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Serve You is able to implement a number of clinical programs, including:
o Prior authorizations
o Step therapy
o Quantity limits
o Dose optimization
o Formulary management
o OTC Drug Coverage
clinical programs » |
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| 8. What is Serve You’s stance on “transparent” or “pass-through” models? Does Serve You offer such a plan? |
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Serve You acknowledges that there has been significant interest in such models over the past several years. While we do not dispute their role as an option in a free market, our experience has shown that the way we do business with our traditional pricing structure is nearly always more beneficial to the client, both from a financial perspective as well as an “understanding where your money is going” stand point. In pass-through models, clients exchange a large up-front administrative fee for complete transparency on PBM acquisition costs. While this facilitates constancy of payment to access these rates, it may cause inconsistency in drug pricing from pharmacy-to-pharmacy (as PBM’s typically have different pricing arrangements with each pharmacy or pharmacy chain)…which can lead to member dissatisfaction and confusion (a.k.a. “noise”). Furthermore, the client pays this large administrative fee every month regardless of how many employees take advantage of the pharmacy benefit and, because PBM’s with this arrangement do not itemize the charges that compose the admin fee, the client is still left not knowing “where the money goes”…which is the major proponent argument for these types of plans.
While Serve You does not offer a pass-through model as a standard offering, should a client request such a plan design we will gladly custom-design one for them. |
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| 9. What type of reports do you offer? |
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Serve You offers a number of reports. The monthly reporting package includes an Executive Summary of key information to help track pharmacy benefit trends and a Group Utilization Report. Serve You also offers Ad Hoc reporting at no additional cost and a Plan Renewal Analysis delivered to clients 90 days prior to the end of a their benefit year. For clients that would like direct access to data to develop their own reports, Serve You also offers RxTRACK Connect.
reports » |
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