
NCQA is committed to providing healthcare quality information through the web and the media to help consumers, employers and others make more informed healthcare choices.
ODS Rx Plans give you financial control, help you accurately track utilization, and save money!
ODS Rx Plans help your employees enjoy greater network access, become involved in their healthcare decisions, and save money!
Call 503-243-5102 today for information or to request a quote.
Save Money With ODS Rx
ODS Rx gives employers new options in the challenge to control the cost
of pharmacy benefits. ODS Rx offers insured pharmacy plans, administrative
services only (ASO) carve out plans, insured carve out plans and pharmacy
discount cards. All of which are designed to give you the financial
controls and information you need to help manage the rising cost of
prescription drugs.
ODS Rx provides employers with effective cost controls, objective consultation,
clinical expertise and one of the most competitive packages in the industry.
We serve over 300 clients nationwide with our network of more than 59,000
pharmacies.
Open
• Two-tier retail co-pay; mail order co-pay is 2.5 times retail
• No deductible or maximum amount allowed
• Some drugs excluded from MedCare® formulary
• No prior authorizations (PAs)
• DUR edits
Moderate
• Three-tier co-pay; mail order co-pay is 2.5 times retail
• Deductible or maximum amount allowed
• Some drugs excluded from MedCare® formulary
• Some PAs
• Specialty pharmacy management optional
• MedPreferred-Therapeutic switch program
• DUR and DAW edits
Aggressive
• Three-tier co-pay and co-pay option of percentage
• Mail order co-pay 2.5 times retail (and mandated for maintenance
drugs)
• Deductible or maximum amount allowed
• Some drugs excluded from MedCare®2 formulary
• Specialty pharmacy management mandated
• Advanced DUR and DAW edits
• MedPreferred-Therapeutic switch program
Access To Prescriptions Everywhere
Nearly 100% of pharmacies in Oregon and over 59,000 pharmacies nationwide
are included in the ODS Rx Network which means employees have access
to their prescription needs almost everywhere. Key local and national
drug store chains include:
| • Albertson's |
• K Mart • Long’s Drugs • Rite Aid • Safeway • Save-Mart |
• ShopKo • Target • The Medicine Shoppe • Walgreens • Wal-Mart |
View Prescription Co-Payments
Informed employees take a more active role in their healthcare. ODS
Rx provides secured access to view and print prescription co-payments
and accumulators so members have a better understanding of the total
cost of pharmaceutical care. Our member-based Health Education Initiatives
provide members with information on a wide spectrum of chronic disease
including: diabetes management, heart disease treatment and prevention,
breast cancer awareness, stroke prevention, asthma and allergy control,
and depression.
Track Your Pharmacy Utilization
ODS Rx uses the MedOverview Financial & Utilization software that
allows reporting by employer group. This gives you the convenience of
accessing your trending data and pharmacy utilization all day, every
day from your office or home computer. Using real-time databases and
multiple firewalls, ODS Rx provides employers with comprehensive and
secure desktop reporting solutions.