Ethica Drives 37% Reduction in Pharmacy Spend with Data-Driven Clinical Strategies Client: Large Employer Overview During a procurement process, Ethica negotiated significant savings by examining price point concessions across multiple PBMs. However, we took a deeper approach by analyzing the client’s actual drug mix. This allowed us to identify additional savings through clinical solutions, including Prior Authorization, Step Care Edits, Quantity Limits, Copay Assistance, and Accumulator initiatives. By tailoring the…

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Ethica Helps Large Employer Reduce Specialty Drug Costs by 4-10% Client: Large Employer Overview Ethica was engaged by a large employer to explore opportunities for reducing high specialty drug costs. The strategy focused on expanding access to a broader network of specialty pharmacies outside of an exclusive arrangement. Solution By introducing non-exclusive access to specialty pharmacies, the employer achieved 4-10% savings on specialty drug costs, while maintaining the integrity of…

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Ethica Helps Large Employer Achieve 20%+ Savings with Low Net Cost Medications Client: Financial Services Organization Overview A financial services organization was concerned that its current formulary favored highly rebateable brand-name drugs over clinically superior and lower-cost alternatives. This lack of optimization was driving up pharmacy costs without necessarily improving health outcomes for members. The client sought a strategic approach to formulary management that would prioritize cost-effective and clinically sound…

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Optimized formulary cuts pharmacy costs by 4–10%, including key GLP-1 savings.

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18% reduction in gross pharmacy costs by implementing a transparent PBM contract.

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