There is a difference, and it is a big deal.
If you want to build a house, you don’t just hire an electrician. You need a general contractor. If you want to cook a gourmet meal, you don’t just shop in the bread aisle. You need the whole grocery store. Yes, the electrician and the bread are important, but a well-built house and a successful meal need the coordination of all the services and all the ingredients for best outcomes.
The same goes for managing workers’ comp. pharmacy benefits. To accurately and effectively manage the clinical, safety, cost, utilization, and adherence aspects of an injured worker’s prescriptions, you need more than a vendor or a series of vendors. You need a comprehensive pharmacy benefit manager (PBM).
There are lots of vendors who claim to be a PBM. Some of them may review paper bills. Some may lease a pharmacy network. Some may outsource clinical services. A true comprehensive PBM like MyMatrixx by Evernorth provides all that and so much more.
“Our focus is always on the injured worker,” said Mike Cirillo, president of MyMatrixx. “Our solutions make sure an injured worker has access to the medications they need, but also that the medications will be clinically appropriate and safe for their care,” he continued.
From a proprietary pharmacy network to an out-of-network strategy to a regulatory and legislative program, this WorkComp Wire Partner Post outlines the level of service you should expect when you entrust your pharmacy benefits to a comprehensive PBM like MyMatrixx.