Client Solutions

Pharmacy Benefit Manager (PBM)

Controlling workers’ compensation pharmacy costs isn't just about getting price discounts. A 20% discount that only covers 20% of your pharmacy costs - or worse, a 20% discount off an inappropriate prescription, costs your organization money. In today's workers’ compensation environment a successful pharmacy program must also focus on utilization control and network penetration. Our policy is to provide the right drug at the right time.

The First Script Pharmacy Benefit Management Program begins with fsDesign, a comprehensive, up-front formulary custom designed for you by our team of registered pharmacists which sensitively balances your injured workers' needs for convenience with your need to control drug costs. Second, First Script’s fsControl includes a flexible benefit component that evolves with the age of the claim, and reduces the opportunity for non work related injury medications to creep into the program. Our proven EDI program fsLink also maximizes savings by consistently delivering higher network penetration levels. By integrating with your claim management and bill review systems, fsLink is able to offer a closed-loop process that continuously monitors injured worker prescription activity and pulls non-compliant workers into the First Script program.

In addition, The First Script program includes tools like fsAlert, our desktop notification tool that alerts of pending drug authorizations, fsTriggers that provide notification on filled prescriptions that have been identifies for retrospective drug review, and fsInsight which provides online standard and custom program reporting.

The First Script program also includes a pharmacy network that allows your injured workers to obtain their work related prescription with no out-of-pocket expense from more than 62,000 retail pharmacy locations, which includes all major drug, mass retail and grocery store chains, plus 97% of local independent pharmacies.