At Avalon, we believe savings is more than numbers—it's about the people. Our human-centered approach combines expertise, technology, and care to ensure your members get the most value from their prescriptions.
Navigating the complex landscape of medication pricing is challenging for everyone. Avalon can help.
We provide plan sponsors innovative Rx cost management solutions to reduce prescription costs, improve member satisfaction, and simplify administration tasks. Avalon solutions can drive savings both before and after provider payment, using a combination of discounts, alternative sourcing and funding, and manufacturer incentives.
CHALLENGE Members are often exposed to high prices when paying out-of-pocket for non-covered medications or when they haven’t met their deductible, leaving them without affordable options, potentially leading to health risks and member dissatisfaction.
AVALON SOLUTION MyRxCard, a group branded savings card, offers an easy way to foster loyalty, while helping members save up to 75% on non-covered medications or when the out-of-pocket cost is less than the insured price. MyRxCard enhances member satisfaction and strengthens your brand while delivering valuable savings to members.
CHALLENGE Prescription drug costs are one of the biggest drivers of rising healthcare expenses which, due to the growing influx of high-cost specialty medications entering the market, will eventually overtake medical spending.
AVALON SOLUTION Avalon Assist provides members a dedicated Rx Advocate to find savings through multiple avenues, including domestic and international pharmacies, financial assistance programs, and direct-from-manufacturer pricing. Our approach reduces plan costs while ensuring members get the medications they need.
CHALLENGE Pharmaceutical manufacturers offer rebates on medical claims that go untapped as few have the expertise nor are qualified to submit claims and gather incentive funds on specialty medications that can offset overall pharmacy benefit expenses.
AVALON SOLUTION Medical Rebate Management helps plan sponsors capture rebates currently offered on over 110 injectable medications that span 1,750 unique NDCs, providing a cost offset without increasing administrative costs or disrupting operations. We manage all aspects of rebate handling - negotiating, qualifying, submitting, and tracking -so you don’t have to.
