The HR Guy On Drugs In 2012.

H.R. Pufnstuf, 
Who’s your friend when things get rough? 
H.R. Pufnstuf 
Can’t do a little cause he can’t do enough

I just received my notification of premium adjustment for 2012.  Holy crap.  Affordable Healthcare Act?  Maybe I should just go back to the 1970’s when people really knew how to party and all the ‘prescription’ drugs of today were illegal, but termed recreational?

Despite a dismal outlook for plan year 2012, you can expect at least one bright point. Seriously.  A one-off opportunity to significantly decrease your organization’s pharmacy benefit costs.

In 2012, the twenty-year patents for a majority of top-selling prescription drugs will expire, and will become available in generic form. Employees will have the option to choose generics. Informing employees when generic alternatives are available will have an immediate impact bottom line of both employees and employers.

It’s important to sell this option to employees.  Employees need to know that generic drugs are:

  • Chemically identical to their brand-name counterparts.
  • Held to the same manufacturing and quality standards.
  • Cost a fraction of the brand drug.
  • 68% of prescriptions written are for generics.
  • The remaining 1/3 that is driving up your pharmacy benefit claims.

Your PBM (Medco, Caremark, Express Scripts, Walgreens, CVS/Caremark) has tools available to educate employees about generics.  Partner with them to initiate the following:

  • Have the PBM provide data identifying which claims activity is for expiring-patent drugs, such as Lipitor, Plavix, Actos, Symbicort, and Crestor.
  • Educate employees about mail order programs for maintenance medications. This reduces employee out-of-pocket expense by 65% or more.
  • Use email and social media to alert employees that frequently used medications are available as generics.
  • Encourage employees to ask  doctors for generics.
  • Reach employees with hypertension, diabetes, and cardiovascular disease who are likely to use brand prescriptions disease management programs

And for the record H.R. Pufnstuf didn’t scare me on Saturday mornings as a kid, but it sure does now.


Posted on September 6, 2011, in Benefits and tagged , , , , , , , , , . Bookmark the permalink. Leave a comment.

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