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Crystal Clear RX offers Clinical Pharmacy consulting ranging from formulary or Preferred Drug List development to Prior Authorization services.
Large PBMs do not focus on a particular clients clinical services or needs. In fact, Clinical services consulting can be extremely cost-effective for a client. The reason for this is that all PBMs can negotiate good discounts from retail providers, but it is more important to develop a clinical strategy that encourages the proper utilization and selection of prescription products. As an example, a prescription for a month’s supply of Nexium 20 mg costs approximately $ 158.10 (AWP) before co-pay but a months supply of omeprazole with relatively the same effectiveness cost $ 23.70 (MAC) before co-pay.
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