(314) 812-2729 info@healthplanview.com

Do your legacy formulary tools tell the real story of what access really looks like?

HealthPlanView clearly defines the access and cost hurdles facing patients

Embracing Change

HealthPlanView™ is focused on reimagining the definition of access with more granular metrics that provide a true picture of what patients are facing. Through continual advancements in our data collection and curation, we’re breaking new ground in defining what access really looks like.

Our most notable enhancements:

  • Benefit Design data for Commercial and Medicare plans
  • Copay Accumulators / Copay Maximizer details
  • Copay Assistance Program variables to calculate patient OOP impact

Additional updates:

  • Expanded range of TAs, primarily in oncology and other specialties, with a focus on Medical Benefit coverage
  • Single snapshot of cost based on multiple criteria
  • New, exportable table view of data

Are you frustrated with the limited data available in legacy formulary tools?

HealthPlanView provides a novel understanding of the access hurdles to Rx drugs from therapy initiation through maintenance treatment. The business insights generated by HealthPlanView originate from data that is not consolidated within current formulary tools, data that includes insured lives, medical policy analysis, and specific costs from each plan benefit design.

HealthPlanView’s subscription-based digital platform provides multi-level perspective into the cost to access treatment, cost to remain on care, and cost differences.

Intuitive interface with granular analysis

Accessible from
any devices

Filters to refine

Comparison between plans

Review therapeutics by drug class


Updated formularies based on P&T schedules

Visual insights into patient and plan access across thousands of benefits designs and formularies

24,834 Commercial Plans

across 170 insurers
99.2% of Commercial Lives

56 Indications

8 Disease

3,699 Medicare Plans

across 280 insurers
100% of Medicare Lives

Guiding critical decisions of Market Access, Brand Teams, Data Analytics, and Field Managed Markets Reimbursement Support


payer and plan lives

Cost Burden and Distribution

benefit/formulary design and drug pricing

Coverage Policy

formulary tier, prior authorization criteria, step therapy requirements, in-depth coverage criteria, and utilization management submission processes

Plan Design

medical and pharmacy deductibles, out-of-pocket maximums, cost-sharing, and co-pays/co-insurance