POMCO's Prescription Drug program currently provides our clients with an average savings of 20 percent to 25 percent below Reasonable and Customary (R&C) costs on brand name drugs -- and a savings of 45 percent to 50 percent below R&C on generic drugs.

POMCO's 30 years of experience in the health benefits industry has led us to the conclusion that the solution to rising national drug costs lies in informed professional management of the drug benefits through effective plan design, employee cost sharing and comprehensive drug utilization management. And plan design issues involve an awareness by the employer and their employees for the differences between sickness, wellness and lifestyle drugs.

POMCO Rx

Following an extensive review of various national pharmacy benefit managers (PBMs), POMCO has selected partners who offer the most advanced technology, drug utilization management and customer service capabilities. Coupled with POMCO's nationally recognized plan designs and benefits management capabilities, we've developed POMCO Rx, a fully-integrated PBM service exclusively offered to POMCO health plan administration clients.

Pharmacy Benefit Management: Much More than Commodity Pricing

The pricing differential among PBMs is relatively small, reflecting only a 4 percent to 5 percent differential on an expense that is typically 25 percent of a plan's total expense. Therefore, pharmacy pricing alone may only impact total health plan expenditures by 1 percent to 2 percent. When combined with integrated cost containment services, however, such as drug utilization review, pharmacy case management, enrollment management and customer service, the prescription drug component becomes much more cost and time effective.