When WisconsinRx was created, the vision was to help plan sponsors control overall drug spend, make better decisions with better data and gain access to transparent information about pharmacy management. These goals are at the heart of everything we do.
TransparencyOurs is one of the most complex industries in existence today, with moving parts that are constantly shifting. Our directive is to assemble a team of specialists that can bring clearly understood and relevant information to plan sponsors and help them achieve the greatest value possible from their drug spend.
When employers and organizations become members of our coalition, they see every aspect of the financial arrangement with our chosen PBM vendor. This is one of the many stipulations of the legal agreement between the cooperative and the PBM that makes our member contracts “best in class.”
We’ve also simplified the contractual process, to ensure that plan sponsors can understand how to take full advantage of all coalition benefits. Along those same lines, our members have access to educational programs and consultative clinical support aimed at empowering employers to contain costs.
We firmly believe that the key to our success lies in empowering our members within the marketplace. Plus, as owners of the business, our members also see every aspect of our own financials, and share in the profits when incomes exceeds expenses.
AccountabilityIt is not enough that our cooperative receive transparent information from our PBM vendor. We also achieve accountability by:
- Issuing periodic Requests for Proposals to ensure that we have the highest value PBM partner;
- Regularly renegotiating our contract in order to build upon our success; and
- Independently auditing 100% of claims to ensure that our members receive all financial benefits they deserve.
Financial benefits include:
- Guaranteed rebates on top of the deep discounts we achieve by group purchasing on behalf of 250,000 employees and dependents
- A 95% rebate “true-up” which is a supplemental payment can equal or exceed the typical quarterly rebate for member-employers
- Patronage dividends that historically has returned over 80 percent of membership fees to members