Rx Analysis & Reprice
ABOUT THE PLAN
The Rx Reprice is a comprehensive retrospective analysis of your pharmacy claims—covering up to two years of data—to uncover where pharmacy dollars are being spent today and identify actionable opportunities to optimize cost, plan design, and vendor performance. This unified approach provides both quantitative insight and strategic guidance to improve Rx efficiency and transparency.
Current Rx plan design documents
De-identified pharmacy claims data, including:
- NDC, quantity, days’ supply, paid and allowed amounts, dispensing channel
- Any available rebate, copay, or network tier information
- Detailed presentation on current Rx spend including trend insights
- Dollar-for-dollar claims reprice using Masonry’s proprietary Rx Methodologies to quantify true savings potential
- Action-oriented roadmap highlighting quick wins, structural opportunities, and timeline for implementation
- Pharmacy spend is now the largest and fastest-growing component of total health plan cost—outpacing medical spend in most employer populations.
- Unlike many cost drivers, Rx savings can be implemented quickly with measurable short-term impact.
- This analysis equips you with the data, methodology, and strategy to act decisively—without disrupting member experience or plan operations.
Contact us today to schedule a consultation and discover how Masonry Health can transform your organization’s approach to healthcare benefits.