Reduce spending with smarter pharmacy cost management
Specialty drugs, GLP-1s and cell and gene therapies are making pharmacy spend harder to manage. Quantum Health brings pharmacy and medical benefits together through a connected approach that improves access, guides better treatment decisions and reduces unnecessary costs.
Guide drug decisions from the start
Integrate medical and pharmacy expertise to eliminate handoffs and reduce drug spend.
Support evidence-based, personalized therapy decisions
Clear guidance helps members and providers feel confident choosing effective, lower-cost options.
See your potential savings
Estimate how much you could save on specialty pharmacy costs with our Site-of-Care Optimization solution. Select your plan size and see your projected annual savings.
Actual savings will vary based on factors like whether your organization operates as a health system, uses lockout lists, or partners with third-party administrators (TPAs) or pharmacy benefits managers (PBMs).
Four solutions built to reduce total cost of care
Pharmacy Navigation
Guide better prescribing and fill decisions to reduce unnecessary pharmacy costs with this solution powered by Scripta Insights
- Optimize prescribing and fill decisions across 17,000+ drugs
- Guide members and providers to clinically appropriate, lower-cost alternatives
- Route prescriptions to the most cost-effective channels
Cell and Gene Therapy Management
Provide access to life-saving treatments while managing cost and risk by leveraging Aradigm's unique capabilities
- Manage approvals early to support timely, effective treatment
- Coordinate care with high-quality, cost-effective providers
- Protect against financial risk while guiding complex treatment journeys
GLP-1 Weight Management
Manage GLP-1 use while supporting sustainable weight loss
- Guide appropriate clinical eligibility
- Provide behavioral health coaching through Vida
- Track outcomes over time to support long-term success
Specialty and Site-of-Care Optimization
Control drug costs by guiding treatment to the most appropriate care setting
- Shift care to more cost-effective settings
- Manage utilization and prior authorizations
- Align pharmacy and medical benefits to reduce unnecessary use
Insights on pharmacy cost management
At Connect 2026, our expert panel dug into what’s driving rising drug costs across medical and pharmacy benefits, and what employers can do about it. Watch the discussion to hear leaders share practical ways to manage spend, increase transparency and create a better pharmacy experience, plus key market trends and solutions that are making an impact.
Address unnecessary drug spend
Redirect infusions and injections to clinically appropriate office and home settings, reducing pharmacy spend by an average of $2.08 PMPM.
Manage cell and gene therapy cost and risk
Give employers a clearer view of the financial impact of specialty drugs, emerging therapies and everyday pharmacy decisions across the plan.
Pharmacy FAQs, answered
Quantum Health helps reduce rising pharmacy costs by connecting pharmacy and medical benefits through one coordinated approach. We guide medication, channel, site-of-care and provider decisions early so members can access clinically appropriate treatment while avoiding unnecessary spend. Our pharmacy solutions support cost reduction across everyday prescriptions, specialty drugs, GLP-1s, biosimilars, cell and gene therapies and high-cost care settings.