Powerful pharmacy solutions, personalized for you

It’s all right here. For you.

Did you know that pharmacy benefits are one of the most frequently used parts of an employee health plan? That’s why they’re a critical factor in both employee wellbeing and cost control.

At Univera Healthcare, we believe pharmacy coverage works best when it’s part of a whole-person approach to care, tailored to the needs of our members. That’s why we focus on putting people first, simplifying service, and strengthening our network every day.

Our pharmacy approach is built on these core values – combining robust benefits, personalized support and expert clinical guidance from a health plan you trust.

Here’s how we make it happen:

A pharmacy model made for you

At Univera Healthcare, better pharmacy care isn’t a coincidence – it’s built around your needs. By partnering with a leading national pharmacy benefit manager (PBM), we secure discounts and provide a broad network for easy prescription access wherever you are.

What This Means:

• Employers will be part of a vast national, regional and local pharmacy network with 66,000+ locations, ensuring employees can easily access prescriptions¹
• A plan with flexible formularies that adapt to business needs with keeping costs in check
• No financial ties to specialty or mail-order pharmacies, ensuring unbiased drug policies
• Advanced fraud, waste and abuse investigations, generating an estimated $2 million in additional savings¹

A holistic approach and a whole lot of value

Pharmacy benefits should go beyond just filling prescriptions. That’s why Univera Health offers a full range of programs designed to enhance access, improve quality and safety and help keep costs as low as possible, including:

• Pharmacy Concierge: with a total annual Rx savings of $19 million+¹
• High-Cost Claimant Team: $4 million+ in annual medication cost savings and cost avoidance¹
• Site of Care Program: Recently, a member accepted our suggestion to transition to home infusion to treat psoriasis. This saved the business $43,000+ annually¹
• SaveOnSP: $543 per participant per month (PPPM) savings¹
• HelpScript Medical Specialty Drug Copay Assistance Benefit: Recently, an employer group experienced savings of up to $10,000 with one fill³
• Specialty Drug Benefit Optimization: $2.8 million total annual savings¹

Strong partnerships help us deliver better care

We’re always looking for ways to improve, and that means collaborating with industry leaders to develop new services and programs. By working with like-minded organizations, we bring the best innovation in healthcare directly to you.

• 50.6 million in pharmacy savings over a five-year period (2019-2023) through provider cost and quality agreements (ACQAs)⁴
• Strategic partnerships like OncoHealth ensure evidence-based, cost-effective cancer care
• Site of Care optimization helps employers save $43,000+ annually by transitioning high-cost treatments to lower-cost savings¹

Making every service experience seamless

Great pharmacy benefits aren’t just about coverage – they’re about the experience. That’s why Univera Healthcare is committed to providing personalized support for members and employers at every step.

• 99% first-call resolution rate, ensuring employer and member issues are handled quickly²
• A dedicated implementation team provides hands-on guidance, making benefit transitions smooth
• Compliance support helps businesses navigate regulatory changes with ease

Take the next step

Our pharmacy approach is born from an overall focus on providing a more comprehensive, coordinated way for businesses to take care of their teams. It’s about putting people first, making service simple and taking our network to another level.

Contact your account representative today to learn how our complete approach can bring more value to your organization. Learn more in our brochure.

1 2023 Health Plan Data.

2 Based on 2022-2023 Health Plan Data.

3 Based on 2024 Health Plan Data.

4 Based on 2019-2023 Health Plan Data.