HealthPlanView’s web-enabled portal provides visualizations of patient and plan costs using payer, detailed plan benefit design and cost information.
- Treatment initiation and continuation cost detailed across all plans considering all benefit design variables
- Insured lives at the parent and individual plan level
- Updated with 2019 formulary data and benefit designs
- Medical benefit and pharmacy formulary policies
- Flexible expansion – new products, formulary updates, plan and benefit designs added upon request
The proprietary platform includes
99.2% of Commercial Lives
13,000 Commercial plans
across 290 insurers
100% of Medicare Lives
3,700 Commercial plans
across 250 insurers
63 Drug Classes
in 12 therapeutic
areas
HealthPlanView is a next-generation solution replacing legacy formulary tools.
It delivers a more comprehensive view of access and coverage.
Legacy Formulary Tools
Offers basic drug benefit details by plan:
- Formulary tier
- Preferred/Non-Preferred status
- PA or step edit – yes or no
Formulary tier is no longer a proxy for favorable or unfavorable access. The evolution and variation in plan benefit designs have left legacy formulary tools lacking insight.
Offers the same data as legacy formulary tools plus complex benefit design details across all plans:
- Formulary tier
- Preferred/Non-Preferred status
- PA requirements
- Step edit details
- Medical and pharmacy deductibles
- Out-of-pocket maximums
- Cost sharing (specific to therapeutic type and administration)
- Copays and coinsurance
Intuitive interface with granular analysis
Accessible from
any devices
Filters to refine
search
Comparison
between plans
Review therapeutics
by drug class
Actionable
Reporting
Updated formularies
based on P&T schedules