Expert perspectives on controlling pharmacy costs
Helping members access the right medications at the right cost requires more than traditional pharmacy management. We joined forces with our partners at Scripta and Aradigm to explore how navigation and clinical expertise can work together to improve pharmacy outcomes.
The panelists
Co-Founder & CEO, Scripta Insights
CEO, Aradigm
Partner Marketing Director, Quantum Health
VP, Pharmacy Services, Quantum Health
Two trends, one growing financial impact
The biggest pharmacy cost challenges don't come from just one place. High-cost cell and gene therapies can create significant financial risk when a single member requires treatment, while everyday prescription medications add up quickly across a large population. Together, these two ends of the pharmacy spectrum play a major role in shaping overall employer spend.
Scripta: Turning pharmacy insights into savings
Scripta specializes in pharmacy savings, helping employers uncover opportunities to reduce prescription drug spend while ensuring members receive effective, clinically sound treatment options. Their approach combines advanced analytics with personalized recommendations to drive meaningful savings.
In their words
We engage both providers and members because we see them both as key components of healthcare decision-making. That's why we chose to work with Scripta and Aradigm--they deliver on both of those fronts in a comprehensive way. They're going to help us manage pharmacy costs not just for tomorrow, but well into the future.
Aradigm: Bringing rare, complex healthcare conditions to light
Aradigm specializes in helping employers better manage specialty pharmacy costs, one of the fastest-growing drivers of healthcare spend. By combining data insights with clinical oversight, they help ensure members receive the right treatment while supporting cost-effective outcomes.
Four solutions to rising healthcare costs
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
Watch the full panel
The big questions, answered
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