Download or Print The Rx Audit Guide

We realize that making a change in any of your group health plan vendors is a very serious and important decision.  Everyone is trying to solve the puzzle created by the pharmacy benefit management industry.  We have stated categorically that we are the only "Transparent" pharmacy benefit manager and we would appreciate the opportunity to prove it to you and your group before you make the decision to change and stop spending money unneccessarily.

Pharmaceutical Technologies, Inc. (PTI) will put in writing what your groups' Rx program would have cost had you been using the National Pharmaceutical Services (NPS) network.

No matter what plan design you are currently using we can provide you with an audit of your Rx plan.  If your Rx plan is part of your major medical plan or is a separate co-pay plan, we will run your claims data through our system and return a report to you illustrating how much you can save by making the change.

In order to complete an audit of your Rx plan we will need:

Your actual Rx claims data for the last 12 months - See Sample Below

NDC Code Type Quantity Days Supply Gross Cost to Plan Pharmacy or Filling Fee Member Cost Net Cost to Plan
00002-3210-45 Brand 30 30 82.80 2.00 14.00 70.80
00002-4115-60 Brand 45 30 242.53 2.00 14.00 230.53
00003-0101-60 Generic 30 10 1.36 2.00 3.36 0
00378-0147-01 Generic 90 30 9.20 2.00 7.00 4.20
If your current PBM has nothing to hide than they can provide this data to you.  We prefer to receive the data in an electronic file format such as Excel.  This will allow us to complete your audit quickly.  Ask your broker or third party administrator.  They may be able to help you to get this data.

Tell Us How Your Current Rx Plan Works!

Is Your Rx Plan Part of the Major Medical Plan or Is it a Separate Plan with Tiered Co-Pays?

 
Deductible Co-insurance or Co-Pay Supply Limits Mail Order Maximum Benefit and Restrictions
$100 Maj. Med. Deductible

or

Separate $50 Rx Deductible

or

A Tiered Co-Pay Plan

$15/Generic

$25/Preferred Brand

$4.500/Brand

 100% Employer Paid After Deductible

or

90/10, 80/20

PBM's Formulary

or

Custom Formulary

30 day limit

90 day limit

 Discounts

Supply limits

 Annual Maximum Benefit

and

Any Special Limitations

(i.e. 25% co-pay for injectables)

You can send your audit data to inquiries@smartrxcard.com or mail the CD to:

SmartRxCard.Com

Audits

14301 First National Bank Parkway

Suite 200

Omaha, NE  68154

Does your current Pharmacy Benefit Manager give you enough information to decide for yourself if your drug spend is appropriate and correct?