Health Solutions

Bringing Integrity And Trust To The Prescription Benefit Industry

Your Transparent PBM Model

Offering proven results and exceptional service. Medicap® Health Solutions will continue to transform the PBM model by offering these core values:

  • Trust
  • Integrity
  • Collaboration
  • Stewardship

For more information, contact:

Benefits of using Medicap® Health solutions

  • 90 day at retail
  • Lower cost to the employer
  • Improved service to the employees
  • Ongoing expert consultation offering real solutions for plan design

Features that will keep pricing low

  • Complete pass through of drug REBATES received
  • Administrative fee & additional program fees clearly defined
  • Invoices include claim details
  • No MAC spreads
  • No hidden fees

True Plan Protection™

Medicap® Programs Manage Your Prescription Plan

  • True Generics™ Program
  • Formulary Guard™
  • Specialty Drug Program Medicap® Assist

True Generic™ Programs

  • ALL rebate revenue passed through to plan sponsor
  • Increase generic utilization
  • Generics First Program
  • Step Therapy
  • Generic Only Therapeutic Classes

Formulary Guard™

  • Determine therapeutic alternatives
  • Block patent extenders

NHS Specialty Drug Program

Cost Control Measures

  • Tiered Specialty Drug program
  • Bio-similar drug approval processes
  • 14-day first fill and 30-day maintenance fills
  • Medicap® Assist program

Medicap® Assist Program

  • Designed to reduce the plan cost associated with specialty drugs for both employers and members
  • Assigned a Medicap® Assist Case Manager Pharmaceutical Assistance Program coordination
  • Design specialty drug tiers to maximize Patient Assistance Programs
Team Meeting

Client Prescription Plan Reviews

  • Easy to follow reviews
  • Pharmacist consulting on reports and trends
  • True cost trending from year to year and bench marked from national average
  • Cost saving recommendations

“We feel that moving to Medicap® Health Solutions was truly one of the best things that has ever happened with benefits at our company. You have not only delivered what you promised, but above and beyond...”

- Michelle S., Employee Relations Manager