A Smarter Approach to
Rx Savings and Member Satisfaction
Challenge
Prescription drug costs are one of the largest contributors to rising healthcare expense; as high-cost specialty medications become more common, these costs are expected to outpace traditional medical spending in the near future.
avalon Solution
Avalon Assist offers members a dedicated Rx Advocate to find savings through multiple channels, including domestic and international pharmacies, financial assistance programs, and direct-from-manufacturer pricing. This approach reduces plan costs while ensuring members have timely access to the medications they need.
GENERIC MAINTENANCE DRUGS
40-70%
Savings on Generic
Maintenance Drugs1
SPECIALTY MEDICATIONS
20-40%
Savings on SpecialtyMedications1
OVERALL SAVINGS
10-30%
Savings on SpecialtyMedications1
Savings Without Sacrifice for Plan Sponsors
For Plan Sponsors, effective prescription procurement is key to controlling costs and maintaining membersatisfaction. Avalon Assist helps reduce prescription drug expenses while ensuring members get the medicationsthey need at more affordable prices.
plan sponsor BENEFITS
- Enhanced Member Satisfaction: Offer members personalized, high-touchsupport to simplify the prescription process and reduce member stress.
- Focused Specialists: Benefit from an independent specialist dedicated to finding savings, integrating seamlessly with your TPA and PBM.
- Plan Savings: Proactively manage alternative sourcing and funding programs to reduce plan spend on high-cost medications, improving both cost containment and member health outcomes.
Concierge Service for Plan Members
Avalon Assist focuses on delivering an exceptional experience for members by providing hands-on prescription management. Our dedicated Rx Advocates ensure members have seamless access to their medications while minimizing out-of-pocket costs.
MEMBER BENEFITS
- Personalized Rx Concierge: Each member with high-cost medications is assigned a dedicated Rx Advocate to manage their prescription journey, from price comparisons to home delivery.
- Proactive Member Outreach: We review claims and reach out to members about potential savings for upcoming refills or new prescriptions.
- Simplified Experience: We handle financial assistance programs, source affordable options, and take care of all paperwork, making the medication process easy and stress-free for members.
Simplified Savings
Avalon Assist simplifies medication cost containment, saving time and resources for plan sponsors while ensuring a seamless experience for members.
- Integrated Collaboration: We collaborate with case management (cm) and utilization management (um)teams to optimize medication sourcing and cost savings.
- Streamlined Processes: Once savings are identified, our RX Advocates handle ordering, tracking, and managing medication delivery.
- Transparency and Tracking: Plan sponsors have real-time visibility into service levels, savings metrics, and member satisfaction, ensuring alignment with organizational goals.
- Proactive Member Outreach: Rx Advocates review claims and contact members about savings opportunities for upcoming refills or new prescriptions.
- Multi-Channel Price Comparison: Rx Advocates identify the most affordable options by comparing prices across pharmacies, networks, and financial assistance programs.
- Personalized Advocacy: Once savings are identified, our Rx Advocates handle ordering, tracking, and managing medication delivery.
1compared to AWP 2across all drugs; higher for plans with a larger proportion of chronic or generic drugs
