OptumRx Contract Highlights

• • Savings – an average of 15 to 25% savings to Equalis Group members.
  • Member Market Check – a detailed evaluation of the projected savings and the impact of transitioning to SourceRx.
  • Flexible Contract Options – Transparent, Traditional & Average Script Price.
  • Stop Loss Insurance Policies – three available stop loss insurance policies including aggregate, aggregate + specific, and guaranteed cost.
  • Claims-Level Pricing Guarantees – applies coalition pricing on a per claim, per employer basis – not in the aggregate across all claims.
  • Consistent Pricing Regardless of Size – all participating employers receive the same prescription pricing, regardless of the number of employees.
  • Built-in Price Decreases – as the size of the coalition increases, pricing for all participating groups decreases.
  • Three-Year Pricing Guarantee – protects against future prescription drug price increases.
  • Annual Audits – individual audits to verify master agreement terms and pricing are properly applied to each participant; participants receive full refunds of any identified overcharges.
  • Annual Market Checks – an intensive process of securing pricing from competing PBM providers each year to ensure the most competitive pricing is available to SourceRx participants.