Our services include:

Pharmacy Benefit Plan Design and Implementation

Our experts work closely with your team to design a pharmacy benefit plan that aligns with your overall healthcare strategy. We consider factors such as the demographics of your workforce, current healthcare utilization patterns, and your budget constraints to create a plan that maximizes value for both your organization and your employees.

Cost Management and Containment

Cost containment is a crucial aspect of pharmacy management. We employ various strategies to manage costs effectively, including formulary management, negotiation with pharmacy benefit managers (PBMs), and the implementation of utilization management programs. By closely monitoring drug spending and utilization, we help you control costs without compromising the quality of care.

Drug Utilization Review (DUR)

Our Drug Utilization Review (DUR) services are designed to ensure your employees are receiving appropriate medications in the correct dosages. This process involves analyzing prescription patterns to identify potential issues such as drug interactions, overutilization, and underutilization. By addressing these issues proactively, we can help reduce adverse drug events and improve overall health outcomes.

Specialty Drug Management

Specialty drugs, which often come with high costs and complex treatment regimens, are a growing concern for employers. Our Specialty Drug Management services include negotiating better pricing with PBMs, implementing prior authorization programs, and providing education and support to employees who require these medications. By managing specialty drugs effectively, we help you mitigate their financial impact on your pharmacy benefit plan.

Compliance and Regulatory Support

The regulatory environment surrounding pharmacy benefits is complex and constantly changing. Our team of experts stays up-to-date with the latest regulations to ensure your pharmacy benefit plan complies with federal and state laws. We also provide support for navigating audits and other compliance-related challenges, reducing the risk of penalties, and ensuring your organization is always in line with legal requirements.

The Role of Technology in Pharmacy Management

Technology plays a vital role in modern Pharmacy Management. At Tooher-Ferraris Insurance Group, we leverage advanced data analytics and reporting tools to gain insights into drug utilization patterns, cost trends, and employee health outcomes. By analyzing this data, we can identify opportunities for cost savings, optimize benefit designs, and implement targeted interventions to improve health outcomes.

Data-Driven Decision Making

Our Pharmacy Management services are supported by data-driven decision-making processes. We use sophisticated analytics to monitor drug spending, identify trends, and forecast future costs. This data allows us to make informed recommendations on formulary changes, utilization management, and other cost-containment strategies, ensuring that your pharmacy benefit plan remains efficient and effective.

Real-Time Reporting and Monitoring

Real-time reporting and monitoring are critical for effective Pharmacy Management. Our technology platform provides you with real-time access to key performance indicators (KPIs) related to your pharmacy benefit plan. This transparency allows you to track spending, monitor utilization, and identify potential issues as they arise, enabling timely and informed decision-making.

Integration with Health and Wellness Programs

Pharmacy Management is most effective when integrated with your overall health and wellness programs. Our approach includes coordinating pharmacy benefits with disease management programs, wellness initiatives, and employee assistance programs (EAPs). This holistic approach ensures that your employees receive comprehensive care that addresses both their immediate and long-term health needs.

The Benefits of Partnering with Tooher-Ferraris Insurance Group

When you partner with Tooher-Ferraris Insurance Group for Pharmacy Management, you gain more than just a service provider – you gain a strategic partner dedicated to the success of your employee benefits program. Our comprehensive approach ensures that your pharmacy benefit plan is tailored to your organization’s needs, cost-effective, and compliant with all regulatory requirements.

Customized Solutions

We understand that no two organizations are alike, which is why we offer customized Pharmacy Management solutions. Our team takes the time to understand your unique challenges, goals, and budget constraints, and we work closely with you to develop a plan that meets your specific needs.

Cost Savings

By implementing effective cost-management strategies and leveraging our negotiating power, we help you achieve significant cost savings on your pharmacy benefit plan. Our focus on data-driven decision-making and real-time monitoring ensures that these savings are sustainable over the long term.

Improved Employee Health

A well-managed pharmacy benefit plan contributes to better health outcomes for your employees. By ensuring access to necessary medications, providing education and support, and integrating with other health and wellness programs, we help your workforce stay healthy and productive.

Collaboration with the Benefit Advisors Network (BAN)

Tooher-Ferraris Insurance Group is proud to be part of the Benefit Advisors Network (BAN), a national consortium of independent benefit advisory firms. Through our collaboration with BAN, we gain access to a wealth of resources, expertise, and best practices in Pharmacy Management. This partnership enables us to offer innovative solutions and leverage collective bargaining power, ultimately providing you with better value and more effective pharmacy benefit strategies.

Frequently Asked Questions

What is the role of a Pharmacy Benefit Manager (PBM)?

A PBM is an intermediary between insurers, pharmacies, and drug manufacturers. They help manage drug formularies, negotiate pricing, and process claims, which is critical in cost management.

How does Tooher-Ferraris Insurance Group ensure compliance with pharmacy regulations?

We stay up-to-date with all federal and state pharmacy regulations, providing guidance to ensure that your benefit plan is compliant and reducing the risk of penalties.

Can you help with managing specialty drugs?

Yes, we offer Specialty Drug Management services that include negotiating pricing, managing utilization, and providing support to employees who require these medications.

What are the benefits of collaborating with BAN?

Partnering with BAN gives us access to industry expertise, enhanced negotiating power, and continuous innovation, allowing us to offer better value and more effective Pharmacy Management services.

Get Started Today

At Tooher-Ferraris Insurance Group, we are committed to helping you optimize your pharmacy benefit plan. Whether you’re looking to control costs, improve employee health, or ensure regulatory compliance, our comprehensive Pharmacy Management services provide the solutions you need. Contact us today to learn more about how we can help your organization achieve its goals.

Insights

May 7, 2025

Navigating Life’s Twists and Turns: How Changes Impact Your Insurance Needs

  Life is a journey filled with exciting milestones and unexpected detours. Each significant event can bring immense joy and new responsibilities, but it also inevitably reshapes your personal insurance needs. Failing to adapt your coverage can leave you and your loved ones financially vulnerable when you need protection the most. At Tooher-Ferraris Insurance Group, […]

Read More
May 7, 2025

Home Renovations: Don’t Forget Your Insurance Policy

Dreaming of a stunning new kitchen, a spa-like bathroom, or a finished basement retreat? Home renovations are an exciting opportunity to improve your living space and increase the value of your property. But as you plan your project, it’s important not to forget a critical element: your homeowners insurance. Renovation projects, whether large or small, […]

Read More
May 7, 2025

Term Life Insurance: Affordable Protection for Individuals and Businesses

Term life insurance is one of the most cost-effective and flexible tools available for financial protection. It offers coverage for a specific period—typically 10, 20, or 30 years—and provides a tax-free death benefit if the insured passes away during the term. This straightforward policy structure makes term life insurance a smart solution for both personal […]

Read More
May 7, 2025

Why RV Insurance Matters For Your Home on Wheels

Owning a recreational vehicle (RV) means embracing freedom, flexibility, and the thrill of life on the open road. Whether you’re cruising across the country or camping for a weekend getaway, your RV is more than just a vehicle—it’s your mobile home, and it needs insurance coverage that reflects its unique role in your life.   […]

Read More
May 2, 2025

HR Legal Alert: IRS Releases 2026 HSA Contribution Limits and HDHP Deductible and Out-of-Pocket Limits

In Rev. Proc. 2025-19, the IRS released the inflation adjusted amounts for 2026 relevant to Health Savings Accounts (HSAs) and high deductible health plans (HDHPs). The table below summarizes those adjustments and other applicable limits.   2026 2025 Change Annual HSA Contribution Limit (employer and employee) Self-only: $4,400 Family: $8,750 Self-only: $4,300 Family: $8,550 Self-only: […]

Read More
April 16, 2025

The Power of Data: How Smart Plan Sponsors Use Analytics to Control Costs and Shape the Future of Health Care

Health care costs continue to rise at an unsustainable pace. For employers offering health plans, this upward pressure threatens not only budgets but also the ability to provide high-quality, competitive benefits. Yet some of the most successful plan sponsors are not only managing costs but actively bending the health trend. How? Through sophisticated use of […]

Read More
Skip to content document.addEventListener('DOMContentLoaded', function() { var videos = document.querySelectorAll('video.wp-video-shortcode'); videos.forEach(function(video) { video.muted = true; }); });