We direct source a health plan's high cost specialty medications for a lot less

PriceMDs Treatment Cost Containment Solution

PRICEMDS TREATMENT COST CONTAINMENT

How to win the battle against rising healthcare costs.

  • High-cost pharmaceuticals represent the fastest growing component of drug expenditures and health care cost.
  • Rising cost of specialty medications should be the top concern of all Self-Funded employer groups when it comes to controlling the cost of benefits.
  • PriceMDs can lower that cost by an average of 30% at zero cost to you with no risk by directly sourcing the same medication from the E.U.
PRICEMDS TREATMENT COST CONTAINMENT

PriceMDs offers a different approach, with much better results.

PriceMDs touches 1%-2% of patients. These members account for 50% of the total PBM spend.

Treatment Cost Containment significantly reduces expensive specialty drug costs for patients and employers. It saves payors hundreds of thousands while providing white glove service to plan members suffering from chronic conditions such as rheumatoid arthritis, colitis, psoriasis, Crohn’s disease, multiple sclerosis, cancer and more.

PRICEMDS TREATMENT COST CONTAINMENT

Two high-cost specialty drug solutions

Leaders in digital health

Our TCC program is available by telehealth to plan members suffering from chronic conditions. There is no need for trips to the pharmacy or refilling every month. PriceMDs uses a specialty pharmaceutical concierge service to deliver a 90 day supply of branded medication directly to the patient!

All-inclusive travel*

Our TCC program is also available through travel. All treatments are coordinated by our highly trained U.S. Registered Nurses and enabled by our U.S. Board Certified second opinion physicians. This program does not replace the relationship with the patient’s existing doctor.

*

 not available with all plans
PRICEMDS TREATMENT COST CONTAINMENT

Patient Treatment Destinations

Cayman Islands

TCC program is available by travel to the Cayman Islands.

Patients may travel to the Cayman Islands where all treatments are coordinated by our highly trained U.S. Registered Nurses and enabled by our U.S. Board Certified second opinion physicians.

Learn More

Atlantis Bahamas

TCC program is available by travel to the Bahamas.

Patients may travel to the Bahamas where all treatments are coordinated by our highly trained U.S. Registered Nurses and enabled by our U.S. Board Certified second opinion physicians.

Learn More

Eleuthera Bahamas

TCC program is available by travel to Eleuthera Bahamas.

Patients may travel to Eleuthera where all treatments are coordinated by our highly trained U.S. Registered Nurses and enabled by our U.S. Board Certified second opinion physicians.

Learn More
PRICEMDS TREATMENT COST CONTAINMENT

Revolutionizing specialty medication access.

A regulatory compliant solution for providing high cost specialty pharmaceuticals at greatly reduced prices!

  • Usage Cost Only

    To the employer / none to member.

  • A Smooth Bolt On

    With no disruption to the current health plan

  • Legal and Compliant

    Meets all FDA, USDA, and CBP protocols.

  • The Exact Same Branded Meds

    From the same manufacturers.

  • Members Love It

    PriceMDs eliminates co-pays and deductibles.

  • Quality Medical Team

    Dedicated RNs and doctors assigned to every patient.

PriceMDs is the only source we know of who has figured out the compliance and logistics to direct source higher-cost treatments. It was the easiest addition of $30k per employee savings we’ve ever seen. Great program! Thanks.

Screenshot 2023-07-17 at 17.03.11

John H.

Plan Administrator

Frequently Asked Questions

TCC is a program that significantly reduces the cost of expensive specialty medications for employers and their members. Approximately 220 specialty medications are available through the program.

It is a second opinion program where patients will have live telehealth consultations with U.S. Board Certified, U.S. educated, and U.S. trained physicians who after consultation and medical records review will prescribe the same branded medications patient is already receiving. A 90-day supply of the medication will be delivered to their home or office after completion of telehealth consultations.

Zero cost, no sign-up fee, no PEPM, no cancelation fee. The client will only receive an invoice if their member is participating in the TCC program which will lower their cost by ~30%. PriceMDs will quote an all-inclusive price and lock it in for one year, subject to a possible increase each April 1st.

The typical savings are approximately $30,000.00 annually for each member that participates in the TCC program.

Yes, these are the same brand name medications from the same manufacturers that supply to U.S. pharmacies and healthcare facilities. PriceMDs directly sources these same medications from the lower established price in the European Union.

Members and/or their dependents who are on their employer’s plan and are prescribed a specialty medication that can be sourced through PriceMDs. The client/employer will decide which specialty medications are included in the TCC program.

This is a bolt on solution that can be added at any time!

PriceMDs follows all guidelines of the Federal Food, Drug & Cosmetic Act 2003 804j for self-importation. Only FDA approved medications are sourced. All shipments are subject to examination at the border by FDA, CBP, and USDA. It is a second opinion program that requires a consultation with an international, U.S. Boarded and Licensed MD and a U.S. boarded and licensed in the state of the patient’s domicile. PriceMDs is fully insured for regulatory compliance and medical malpractice by the Beasley Group (a Lloyd’s of London Co.).

No, the patient’s treatment plan and care will continue by their physician. This program allows patients and employers to save on the high costs of specialty drug treatments. It does not replace the patient’s relationship with their treating physician.

Members must possess a U.S. passport as per U.S. Customs shipping requirements. Although there is no travel in the TCC telehealth program, a passport is required to show citizenship for self-importation. A PriceMDs Registered Nurse (RN) will provide details.

Patients must have up to date medical records and prescription for their specialty medication. Their dedicated PriceMDs RN will organize a 30-minute video teleconference with our U.S. trained, U.S. Board Certified non-U.S.-based physician and also with a U.S.-based Board-Certified specialist, licensed in their state who will write the prescription.

The patient will receive a 90-day supply of their medication with each shipment in about 30 days or less after telehealth consultation. Their dedicated PriceMDs RN will monitor the shipment closely and follow up with the patient after the shipment arrives.

The PriceMDs RN tracks each fill and contacts patients approximately 60 days before it is time for their next treatment. Just like the initial fill, the dedicated PriceMDs RN will assist the patient every step of the way.

Yes, cold chain (refrigerated) shipping is our specialty. From ambient room temperatures, to controlled room temperatures (20°C to 25°C), to refrigerated (2°C to 8°C), all medication shipments arrive to facilities and shipping hubs that provide temperature control. All pharmaceutical packages ship via FedEx Express or DHL Global Express and are tracked and monitored to ensure the least amount of time in transit, while allowing for clearances by CBP, FDA, and USDA.

Contact PriceMDs at: +1 (813) 818-4531

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