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Pharmacy Clinical Advantage Program <br />► Formulary Optimization - A program that excludes low clinical value drugs <br />from our formulary (gross projected savings of $98,944 - 40 members) <br />► RxB Utilization Management Review - A high dollar claim review program for <br />all pharmacy claims over $1,000 to ensure that high costs medications are <br />medically appropriate (gross projected savings of $148,930 to $208,502 120 <br />members) <br />► Manufacturer's Assistance Program for Specialty Medications - Redeem <br />manufacturer assistance coupons on behalf of the plan (gross projected <br />savings of $231,632 - 34 members) <br />► Out of Pocket Protection - A program to ensure that only actual out of pocket <br />costs paid by members are applied to the plan's out-of-pocket maximums <br />(credit coupons issued by manufacturers to reduce member costs would not <br />apply towards out of pocket maximum). <br />