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December 14, 2017

 

CoSer: 655

Service Codes:
655.000

Contact

Mark Jones
518-862-4920
mark.jones@neric.org

 

2017-18 PMPM (open):
$1.63 per member, per month

 

2016-17 PMPM (open):
$1.63 per member, per month

 

 

 

Pharmacy Cooperative

Capital Region BOCES Pharmacy Coalition

 

Why join a public sector pharmacy coalition?

  • PUBLIC SCHOOL FOCUS: Self-funded public sector pharmacy benefits coalition run by Capital Region BOCES. Capital Region BOCES began offering this savings program to schools and municipalities in 2012.

  • VOLUME LEVERAGE: Participating schools have had a 15%- 20% reduction on pharmacy claims costs compared to prior PBM contracts. PBM contract pricing is reviewed annually. Strict PBM contract confidentiality protects program discounts.

  • AUTONOMY: This is not a trust. You maintain your governance structure, benefit designs, bargaining process, funding mechanisms.

  • TRANSPARENCY: The PBM does not pay us commissions. No broker ‘per claim' fees are hidden in your pharmacy claims. Clean, audit-supported PBM contracting with the vendor.

  • VOLUME LEVERAGE: Discounted drug costs, 100% claims audits, deep manufacturer rebates and monitored performance guarantees based on 530,000 lives.

  • PHARMACY FOCUSED EXPERTISE:
    Program consultants that solely focus on pharmacy trends, programs and services, including national health plans.

  • Through our BOCES CoSer, the NY MPPC enables you to maintain your current pharmacy plan, governance and autonomy, while leveraging the large-scale group purchasing discounts and clean contracting that currently benefit 530,000 lives.

  • BOCES staff will manage and coordinate the following activities for its self-funded, New York Pharmacy Purchasing Coalition program districts, trusts, other BOCES and municipalities;

  • Interface with eligibility vendors, PBMs, brokers and other third party entities, as approved by the plan sponsor (implementation and ongoing);

  • Act in an account service capacity during implementation of the program and benefit changes, either directly or with your broker of record;

  • Organize and provide periodic educational seminars about pharmacy industry trends, Federal compliance, pharmacy products, cost containment and Medicare options;

  • Share NY MPPC, KPPC and ESI industry benchmark and performance information through annual reporting;

  • Coordinate and review standard vendor information reports, either directly or with broker of record;

  • Provide and coordinate pharmacy plan subject matter expertise as requested at scheduled trust and board meetings.

  • Currently, more than 36,000 lives are part of the NY MPPC, including several large BOCES health plan trust. Pharmacy can be carved out and self-funded despite your current medical/pharmacy status. Contact us for a no-cost, no-obligation pricing comparison to see what you "could have saved" through our program.



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