Prescription
Benefit Plan Designs
Southern Scripts offers three different options that Plan Sponsors may choose from in designing their Pharmacy Benefit Plan – RxPremier, RxTraditional, and RxCustom. Each plan design and its features are described below.
Option 1
RxPremier
RxPremier
- Two Pharmacy Networks:
– Preferred Pharmacy Network
– Choice Pharmacy Network - 90-Day Retail – limited to
Preferred Pharmacy Network - Mail order available, not forced
- Southern Scripts Specialty
Pharmacy Network - 100% Disclosure of all rebates
- No Spread Pricing
- Payment for Services is a flat per
paid claim fee - Rebate Allocation
- Mandatory Generic Policy
- Southern Scripts Formulary
- Three Tier Copay Structure
– Generic
– Preferred Brand
– Non- Preferred Brand - All inclusive services
Option 2
RxTraditional
RxTraditional
- One Pharmacy Network
– Choice Pharmacy Network
- 90-Day Retail
- Mail order available, not forced
- Southern Scripts Specialty
Pharmacy Network
- 100% Disclosure of all rebates
- No Spread Pricing
- Payment for Services is a flat per
paid claim fee
- Rebate Allocation
- Mandatory Generic Policy
- Southern Scripts Formulary
- Three Tier Copay Structure
– Generic
– Preferred Brand
– Non- Preferred Brand
- All inclusive services
Option 3
RxCustom
100% Customized Plan Design
RxCustom
100% Customized Plan Design
- Pharmacy Networks
– designed according to your
specifications
- 90-Day Retail – your choice to
include 90-day retail
- Mail order available
– Your decision to include
- Specialty Pharmacy Network
– your decision to limit specialty to
specific pharmacies
- 100% Disclosure of all rebates
- No Spread Pricing
- Payment for Services is a flat per
paid claim fee
- Rebate Allocation
- Mandatory Generic Policy
- Southern Scripts Formulary can
be customized
- Copay Structure set by plan
- All inclusive services