What is the Right Price Rx program?
With the help of Express Scripts, we’ve launched a new program to make sure our commercial members find the lowest available price when shopping and paying for prescriptions.
Using a “lesser of” pricing method, the program factors in any currently available discount cards or coupons, such as GoodRx® and applies it right at the pharmacy. This pricing is done behind the scenes for the member, so there’s no need to sign-up or opt-in to the program.
How does it work?
- Members fill their prescription at any in-network retail or mail order pharmacy (excluding specialty pharmacies).
- The claim automatically adjudicates in the pharmacies' system and finds the lowest available price for the drug when compared to Average Manufacturer Price (AMP), Maximum Allowable Cost (MAC), Usual & Customary (U&C) and any discount card programs available.
- The member pays the lowest available price every time, even if it's less than their standard copay.
What are the benefits of using Right Price?
Right Price Rx is a helpful addition to your patients’ pharmacy benefits and ensures that what they spend on prescriptions will be tracked against their deductible and out-of-pocket maximum. They no longer need to shop around for the lowest price and they can check their costs ahead of time using the Cost Estimator.
Encourage your Priority Health patients to use their pharmacy benefit without needing any discount programs or coupons. With Right Price Rx, they’ll receive the lowest price available right at the pharmacy.