(314) 812-2729 info@healthplanview.com

The HealthPlanView Difference

What does HealthPlanView offer over other formulary tools?

HealthPlanView is a next-generation solution replacing legacy formulary tools.

Increasingly complex cost-sharing scenarios are a mainstay of today’s healthcare ecosystem.  This complexity has not been captured within legacy formulary tools, which ignore critical details such as deductibles, out-of-pocket maximums, and variability in benefit design.  These complexities create barriers to adoption for innovative life-saving treatments. While insurer claims databases can provide some useful answers, the clarity of insights necessary to guide patient support program development, contracting strategies, critical decisions of brand teams, and field managed markets reimbursement support is often lacking.

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

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Extensive multi-level reach into payer coverage

24,834 commercial plans
across 170 insurers

3,699 Medicare plans
across 280 insurers

Highly accurate and timely insights

uses multiple data sources to extract coverage information and screened for accuracy by market access experts, immediately after payer update triggers

Complex benefit design details

greater detail into prior authorization requirements, step edit details, indemnity breakdown, and patient cost sharing information

Intuitive interface with granular access

an easy-to-use interface to delight users and accessible from all devices