Employer Market Drivers

On average, premiums for family coverage in an employer-sponsored health insurance program increased by 87% from 2000 through 2006*, affecting both employers and employees. The rising cost of prescription drug benefits erodes margins and directly impacts an employer’s bottom line, while reaching further into an employee’s pocketbook.

As a result, employer groups are taking a greater interest in the management of their prescription drug plans. As their sophistication increases, they are looking to develop innovative consumer-directed healthcare programs to engage their employees in making better healthcare-related decisions. This increase in control over the allocation of pharmacy benefit dollars enables both the employer and employee to save money, while maintaining a superior level of care. For example, one SXC employer group customer saved more than $6.5 million in one year — on an annual drug spend of approximately $70 million — by using our informedRx^® solutions to increase generic utilization and reduce average generic pricing.

*Source: Kaiser Family Foundation: Survey of Employer Sponsored Health Benefits, 2001–2006

We deliver full PBM services and cost-containment strategies

informedRx is a suite of applications and services ideally suited to provide one-stop PBM services with transparent and traditional pricing for employer groups. SXC’s products and services include:
     Electronic Claims Adjudication
     Pharmacy Network Management
     Mail Service/Specialty Pharmacy
     Call Center
     Drug Utilization Review
     Clinical Services and Consulting
     Formulary
     Rebate Administration
     MAC Management
     Enrollment and Eligibility
     Benefit Plan Design and Management
     Reporting and Information Analysis Solutions
     Member Information Portals

SXC saves its employer clients money. informedRx delivers 100% of all manufacturer rebates and point-of-sale discounts with full price transparency and à la carte, fee-for-service pricing. These customers achieve a greater level of clinical control over drug product selection, generating further savings through initiatives, such as generic substitution programs.
SXC can enhance the quality of care for employees and their dependents through a full range of customizable clinical management, specialty, retail network and mail order programs. informedRx customers attract and retain employees through innovative benefit programs that promote healthcare involvement and provide convenient access to Web-based tools. We reduce
the burden of managing pharmacy benefit programs with simplified administration and informed decision support — delivering on-demand data access and custom-designed reports.