Keeping Medications Affordable for Members

Building on our track record of keeping out-of-pocket costs low

June 19, 2023
Vice President and Head of PBM & Specialty Product Innovation

Pharmacy benefit managers (PBMs) like CVS Caremark are working to make drugs more affordable for plan sponsors and their members. It is important that members are not overburdened by out-of-pocket (OOP) costs for their prescription medications — because when people can afford their medications, they are more likely to take them, helping reduce the chance of costly disease progression or health complications down the line.

Joshua Fredell, PharmD, discusses the importance of member affordability.

Our overall strategy to keep costs low includes providing options for plan sponsors and members; we're proud to say that we’ve driven a 24.7 percent reduction in member out-of-pocket costs over the past six years. Members bear less cost burden for the drugs they rely on to stay healthy.

Member out-of-pocket cost reduced by 24.7% from 2016-2022

We work with our clients to craft a wide range of plan designs that offer common and preventive drugs at low or no copay and help ensure members can get medications at low costs. A multi-faceted plan design strategy to reduce member cost share may include:

  • Formulary and UM techniques
  • $0 copays
  • Point-of-sale rebates
  • Copay assistance programs
  • Patient financial resource support facilitated by pharmacies
  • Caremark Cost Saver
  • Preventive Drug List
  • Digital tools to help providers and patients easily identify low-cost options
$8.57 average member OOP cost in 2022

As a PBM, we know that prioritizing member affordability requires innovation, both in our products and our plan designs. From a product perspective, we are investing in transparency solutions to help members compare prescription costs and make informed decisions.

Want to learn more about how we’re keeping drugs affordable for members? Ask Us
June 19, 2023
Vice President and Head of PBM & Specialty Product Innovation

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