Prescription Benefit Programs

Today, more than ever, prescription medicine represents a large portion of plan expenses. We work with several of the nation’s leading Prescription Benefit Managers (PBMs) to administer integrated medical and prescription drug cards. The benefits of these programs are:

• Simplification of Claims Administration:
  • Rx Claims are transmitted to RMSCO in NCPDP format and are loaded into our claims system for payment
• Benefit Flexibility:
  • We offer unlimited cost-effective options, from a basic mail order only to the more sophisticated formulary based 3-tier co-payment designs

We currently work with the following PBMs for mail order and/or retail drug programs:

• Caremark
• Express Scripts
• FLRx
• PharmaCare
• ProAct