Are you frustrated with the limited data available in legacy formulary tools?
HealthPlanView provides a novel understanding of the cost of accessing 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
Filters to refine
Comparison between plans
Review therapeutics by drug class
Updated formularies based on P&T schedules
Visual insights into patient and plan costs across
99.2% of Commercial Lives
25,000 Commercial plans
across 290 insurers
100% of Medicare Lives
3,700 Medicare plans
across 250 insurers
63 Drug Classes
in 12 therapeutic
Guiding patient support program development, contracting strategies, critical decisions of brand teams, and field managed markets reimbursement support
payer and plan lives
Cost Burden and Distribution
benefit/formulary design and drug pricing
formulary tier, prior authorization criteria, step therapy requirements, in-depth coverage criteria, and utilization management submission processes
medical and pharmacy deductibles, out-of-pocket maximums, cost-sharing, and co-pays/co-insurance