Meet RegenceRx

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RegenceRx is a not-for-profit, full-service pharmacy benefit management program (PBM). As a health-plan based program with financial risk, our incentives are aligned with yours–to reduce costs and promote the appropriate use of medications.

Share Our Success
For more than 20 years, RegenceRx has successfully managed pharmacy benefits for more than 2.2 million members of The Regence Group, as well as provided clinical and contracting support for over 860,000 members from other BlueCross BlueShield and Medicaid plans.

Our member friendly, cost-effective program works for you by:

Identifying medications that provide a significant value, as well as medications that add cost without improving treatment.
Ensuring quality and patient safety.
Providing tools and information to members and their doctors about medication choices, including associated costs.

RegenceRx services and capabilities include:

Clinical management
Preferred Medication List/Formulary (PML) support
Therapeutic Class Drug Reviews and monographs
Pharmaco-economic evaluations
Prior authorization criteria development and administration
Pharmacy-based care management programs
Medication pipeline monitoring
Benefit design analysis and recommendations
Prescription claim processing (electronic, online, real-time).
Call center support.
Nationwide network of more than 50,000 pharmacies and two mail-order options
Specialty pharmacy and disease management opportunities.
Prescription contract pricing, including maximum allowable cost (MAC) list.
Rebate contracting and processing services.
Consumer education tools with information via mail and the Internet.

Some PBM programs make claims on their ability to control costs. Others promise huge pharmacy networks or promote large, guaranteed rebate returns. At RegenceRx, we have outperformed national PBM programs at every level–service, network pricing, clinical management, rebate yield and cost trend reduction. We know what it takes to properly develop and manage a cost-effective pharmacy program that flexibly meets the needs of our clients.