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CapRX

The Fully-Insured RX Option

CapRX is prescription drug insurance for self-funded medical plans with 1,000+ lives, which can decrease your RX spend by up to 40%.

With CapRX, a major insurer underwrites and manages your organization's risk for you, while providing fully transparent, guaranteed rates that last the term of your A-rated policy.

LEARN MORE

CapRX saves medical plans an average of 30% on their Pharmacy Benefit Plans, through implementing pharmacist managed comprehensive formularies, patient advocacy, and copay assistance programs.

WHY TRY TO MANAGE THE UNMANAGEABLE?

See how CapRX can help your self-funded medical plan manage its risk and significantly decrease its RX spend. 

CONTACT HCP NATIONAL

MEMBER ENROLLMENT BENEFITS

What benefits will your self-insured medical plan members receive with CapRX?
Our proven system makes sure there are no surprises for you or your employees.

GUARANTEED ISSUE

Anyone from the ages of 18-64 and their dependents can enroll with no underwriting required. You cannot be turned down for pre-existing conditions. 

KEEP YOUR PHARMACY

Access to 100% of chains and 90% of independent pharmacies nationwide (more than 70,000 pharmacies nationwide).

FIND THE LOWEST PRICE

Maximize savings by comparing costs at your local pharmacies with our price comparison tool.

EASY BENEFITS MANAGEMENT

Access to your personal online member portal where you can find nearby pharmacies, manage payments, and more.

"LESSER OF" SAVINGS

If the network contracted cost of the covered formulary generic brand medication is lower than the copay, you only pay the network contracted cost. 

24/7/365 SUPPORT

Uninterrupted first-class support 24x7, 365 days a year.

CapRX PROGRAM BENEFITS

What benefits will your self-insured medical plan receive with CapRX?

  • Savings to clients typically span between 25-40% off of expected renewal plan spends
  • Plans are fully guaranteed and fully insured with A-rated policies
  • Savings to members on specialty typically runs 50% off expected renewal member spend
  • Assistance with medical pharmacy costs can be included to reduce overall medical spend
  • Typically provided to ASO clients in lieu of Aggregate Stop Loss coverage
  • Quick turn-around and implementation timelines

WHAT DOES CapRX COST?

A recent self-insured group's expected RX spend for the next 12 months was more than $30 million dollars.

CapRX premium came in at 30% less, saving the client $9 million of their total drug spend.

Premiums vary from plan to plan, based on factors such as location and the total number of members. Request a quote for your plan today.

REQUEST YOUR QUOTE

WHO CAN ENROLL?

Any self-funded medical plans or organizations with more than 1,000 employees who can access their RX claims data are eligible for CapRX..

CONSULTANT OR BROKER? GET APPOINTED NOW.

If you are an insurance consultant or broker who is interested in bringing CapRX to your clients, please fill in the form below, and we will contact you within two business days.
Alternatively, call Bill Dyer at 888-478-6756 ext. 101.