Programs and Services

Prescription Program Management to Serve You, the Client

Our central goal is to deliver to our clients prescription drug programs in the most cost-effective manner, removing excess costs, and hidden spreads and charges, and supporting those programs with exceptional customer support.

To achieve this, we have assembled a broad range of partners with explicit expertise in the various functions and components of the prescription drug industry, and integrated these functions into a seamless, client-facing structure dedicated to world-class customer service.

In concert with our strategic partners, we have built a WellPower team that delivers powerful tools for clients to manage their prescription drug costs and for members to manage their health.

Your WellPower team’s programs and services include:

Administrative Operations

• Claims processing
• Formulary design and management
• Network contracting and administration (mail, retail and specialty)
• Benefit plan design and administration

Service Support

• Implementation services team
• Client services team
• Call center (member and pharmacy call management)
• Consultative services
• Employee communications

Clinical & Consultative Services

• Predictive modeling
• Medical/pharmacy data integration
• Trend analysis and reporting
• Prior authorization and utilization management
• Preferred drug list (PDL)
• Clinical edits

Reporting & Analytic Tools

• Claims insight and management
• Predefined reports
• Ad hoc reporting
• Financial reporting

Through this highly dedicated and skilled WellPower team, we:

• Serve more than 30 million members nationwide, processing over a quarter billion prescriptions annually
• Offer access to over 60,000 pharmacies nationwide
• Provide member service 24 hours a day, 7 days a week, answering over 35,000 calls per week, 100% of them in under 20 seconds
• Offer mail order services from two world-class facilities which utilize advanced robotic dispensing and distribution systems
• Deliver specialty pharmacy services through fully staffed branch pharmacies and ambulatory infusion suites across the country

We do all of this while enhancing our client’s operating income by $300 to $800 per employee per year for a duplication of their current prescription drug rider!