Attune Rx

What is Attune Rx?

Attune Rx, a WTW solution with RxBenefits, delivers the power and unsurpassed expertise of two industry leaders to manage your pharmacy benefits.

If you have fewer than 1,000 eligible employees and are self-insured, Attune Rx provides you pharmacy benefits you might not receive in the direct market such as:

• Competitive pricing
• A full-service support model

Why WTW?

WTW governance provides:

• Oversight by WTW pharmacy experts in clinical and account management
• Annual review of RxBenefits capabilities
• Escalation process for issue resolution for additional support

Exclusive WTW contract terms that include unique pricing and services for Attune Rx clients:

• Custom performance guarantees
• Designated call center with unique 800 number for members
• Exclusive preferred pricing and discounts for clinical management Protect program

Why RxBenefits?

RxBenefits consistently delivers an affordable, world-class pharmacy benefit for self-insured employers that prioritizes member health, safety, and satisfaction.

• Average first-year contract savings of 20% with guaranteed rates and rebates
• Automatic annual pricing improvements boost savings year-over-year
• Balanced clinical approach delivering approximately 5% to 10% incremental savings and enhanced member safety
• Sustainable specialty pharmacy solutions that optimize access and savings

Participating vendors

Attune Rx works with the “big three” pharmacy benefits managers (PBMs).

Award-winning performance

RxBenefits has won the Stevie Award three years in a row – customer service department of the year in healthcare, pharmaceuticals and related industries category.

FAQ – Frequently asked questions

What is a pharmacy benefit manager (PBM)?

A PBM is an organization that manages pharmaceutical benefits for employers, managed care organizations or other medical providers. PBM activities may include all or some of the following:

• Benefit plan design
• Claims processing (also known as claims adjudication)
• Creation and administration of retail/mail networks
• Drug utilization review
• Formulary management
• Prior authorization
• Disease and health management

What are the advantages of using a PBM?

• Pharmacy management is the focus of pharmacy vendors (i.e., PBMs).
• The carve-out solution continues to resonate with employers as PBMs provide a strong value proposition in managing pharmacy
• Financial arrangements are typically backed by guarantees
• Designated account management team includes clinical pharmacist support
• Greater opportunity for transparency
• More flexibility and greater control over pharmacy benefit
• Retail pharmacy network options
• Formulary options with rebates
• Communication support
• Strong reporting, including online access and web-enabled capabilities

What is a carve-out pharmacy benefit arrangement?

A pharmacy carve-out pharmacy arrangement is when pharmacy benefits are separated from medical benefits and are managed outside of an organization’s primary medical health plan vendor. This approach is self-insured, and an employer works directly with a PBM to administer and manage the pharmacy benefits.