GHS/Rx: Pharmacy Benefit Management for Self Insured Employers

GHS/Rx is a prescription benefit plan available to companies with self-insured medical programs. GHS/Rx provides prescription drug services through a national network of pharmacies.

GHS/Rx personalizes pharmacy services to fit individual businesses with the goal of a healthier workforce and a healthier bottom line.

Here are just a few of the ways our clinical team delivers on this promise:

  • We work closely with companies to identify and adopt cost-effective generic equivalents of expensive drugs, without sacrificing quality or integrity.
  • We partner with employees to help them manage health problems more effectively. With our guidance, employees with chronic diseases, like diabetes, can effectively control their illnesses and become healthier, thereby, reducing costs to the program.
  • We provide prescription drug services through a national network of pharmacies to ensure employees everywhere have a convenient location to fill prescriptions.
  • We work with human resources staff to maximize the program’s cost-effectiveness and to keep rates in check. We can also provide every employee with medical and prescription drug cards and custom GHS/Rx brochures that detail coverage. Our help desk is available to pharmacies 365 days a year to confirm coverage and answer any questions.

In a nutshell, we work to maximize pharmaceutical health care return on investment with the people who make it happen: the Physician, the Pharmacist, and the employees.

The GHS/Rx program offers the following services and more:

  • Pharmacy Point of Sale (POS) claims processing;
  • Pharmacy education information;
  • Formulary review, development, and maintenance;
  • Drug Utilization Review (DUR) for safety/interaction checks at the point of sale;
  • Full time Help Desk support;
  • Scheduled and ad-hoc reporting;
  • Cost effective therapeutic selections and solutions;
  • Multi-tier reimbursement programs;
  • Support for high deductible health plans (HDHPs);
  • 340B claim processing & virtual inventory management;
  • Drug manufacturer rebates;
  • Auditing and reimbursement review; and
  • Support for the ePocrates formulary hosting service.

GHS Rx Clients include: