ClearScript is a pharmacy benefit management (PBM) company that leverages medical and pharmacy expertise to optimize drug spend and enhance member health outcomes. The company’s key service offerings include a nationwide pharmacy network, claims processing services, mail service, and specialty pharmacy services. It also provides utilization management programs to ensure the appropriate use of medications, which encompass prior authorization, quantity limits, step therapy, and over-the-counter preferred products, among others. Additionally, the company provides medication therapy management and online tools for members, enhancing the efficiency and effectiveness of healthcare plans.
The company claims to offer a 27% lower average per member per month cost than estimated competitor costs.
Key customers and partnerships
ClearScript serves a diverse clientele, including brokers and consultants, healthcare organizations, third-party administrators (TPAs), tribal nations, self-funded organizations, and the public sector.
Through its partnership with Fairview Specialty Pharmacy, ClearScript offers specialized pharmacy care. Its services are recognized for increasing adherence across multiple high-cost specialty therapy classes, which leads to improved member health and enhances the financial bottom line for clients.
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