Get Plan Design Review Guide - Express Scripts

This guide will assist users in effectively completing the Plan Design Review Guide - Express Scripts online. It provides detailed instructions for each section and encourages best practices for maximizing benefits.

Follow the steps to effectively fill out the Plan Design Review Guide.

1. Use the 'Get Form' button to access the Plan Design Review Guide and open the document in the appropriate editor.
2. Carefully review the introduction section, noting the key functions of pharmacy benefit managers, which will provide context for the subsequent sections.
3. Complete Chapter 1, which discusses drug coverage and strategies. Indicate any exclusions or conditional coverage your plan requires.
4. In Chapter 2, provide details about the distribution channels for retail and mail, ensuring to list the pharmacies included in your network.
5. Fill out Chapter 3 on generics by specifying which generic drugs will be included in your plan, along with any financial incentives for members to use them.
6. Chapter 4 covers cost-sharing structures. Clearly define copayment, coinsurance percentages, and any deductibles or out-of-pocket maximums.
7. Detailed information about formulary management can be found in Chapter 5. Indicate which drugs will be on the formulary and whether prior authorization will be required for certain medications.
8. In Chapter 6, review the drug utilization review programs and check any additional programs that might be beneficial for your plan.
9. Chapter 7 details utilization management programs. Identify the programs you wish to implement to manage drug prescriptions effectively.
10. After completing all sections, review your entries for accuracy, then save your changes, and decide to download, print, or share the completed guide as needed.

Start filling out the Plan Design Review Guide online to optimize your pharmacy benefit management today.