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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.
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.
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.
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.
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.
Access to 100% of chains and 90% of independent pharmacies nationwide (more than 70,000 pharmacies nationwide).
If the network contracted cost of the covered formulary generic brand medication is lower than the copay, you only pay the network contracted cost.
Maximize savings by comparing costs at your local pharmacies with our price comparison tool.
Uninterrupted first-class support 24×7, 365 days a year.
What benefits will your self-insured medical plan receive with CapRX?
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.
Any self-funded medical plans or organizations with more than 1,000 employees who can access their RX claims data are eligible for CapRX..
