Benefit Management Service


The health of your employees is not just important - it is essential to the vitality of your company. But providing employees with quality health benefits options like prescription drugs can be very costly. Wouldn't you like to know the smartest solutions in prescription cost containment today? At Garden State Pharmacy Owners Provider Services, Inc. (GS-POPS), pharmacists work together to provide prescription cost solutions, and we want to put those solutions to work for you.

GS-POPS has delivered comprehensive, affordable benefit management to municipalities and businesses like yours for almost two decades. Our dedication to complete plan design flexibility allows you to choose the program that offers the savings and security features that best fit your business needs. In addition, GS-POPS designs completely customized prescription drug benefit programs to address your specific program needs and requirements. We excel at producing prescription drug benefit programs with plan designs that are equal to or better than existing.

As a pharmacist owned and operated company, GS-POPS is uniquely qualified to serve as a program administrator for your employee prescription drug benefit program. We offer a winning combination of professional experience, unique perspective and uncommon provider loyalty. You and your employees will benefit from our detail-oriented approach to plan implementation as well as our rapid response to clinical problem solving through our relationships with our participating pharmacies.


Customized Prescription Plan

GS-POPS recognizes that each company has different needs when it comes to pharmaceutical benefits. In customizing a prescription plan specifically suited to your company's guidelines and financial objectives, GS-POPS will:

Analyze your existing plan and determine its current operating parameters.
Review your claim history experience.
Modify any program we offer to fit your needs and those of your employees
Create several prescription plan options and carefully review each with you.
Show you immediate savings.

At GS-POPS, there are no plan premiums. You simply pay the discounted price for the prescription drugs used by your members along with a modest administrative fee.


Efficiency

GS-POPS claims management could not be timelier or more effective. That's because we employ an on-line claims processing system, which provides a direct link to each of our participating pharmacies. As an innovative feature of our pharmaceutical services program, this system:

Allows us to update employee claim and eligibility data the moment new information becomes available. Since updates are instantaneous, your company can call GS-POPS to initiate coverage of an employee immediately.
Verifies employee eligibility for coverage at the point of service. This spares your company from paying good faith payments for claims from terminated employees.
Generates reports for you on a monthly and quarterly basis to keep you up to date about additions, deletions and changes to your prescription plan eligibility list.


Quality Care Comes With The Territory

GS-POPS' participating neighborhood pharmacies, linked by our on-line computer system, provide coordinated, quality care that is personalized to the needs of each of your employees, such as:

Pharmacists provide ongoing, confidential patient counseling as they dispense medications.
Our on-line computer system alerts pharmacists to claim-specific information during the dispensing process.


Generic Drug Incentives

Brand name versus generic. What is the difference? About $80 per prescription! Encouraging pharmacists and patients to use the safe, low-cost generic versions of expensive brand-name drugs leads to tremendous savings - savings that GS-POPS passes on to you. These savings are realized through:

Reduced copayments when patients opt for generic rather than brand-name drugs.
Incentives to pharmacists who fill prescriptions with generic instead of brand-name drugs.


Less Waste Means More Savings

Unused pills at the bottom of a prescription bottle cannot be recycled, but the problem can be prevented. GS-POPS targets ways to eliminate drug waste and spillage before they can eat into your company's bottom line. It adds up to significant savings for you and the most appropriate care for your employees.

Using a drug formulary assures safe, effective and affordable medications.
Our recommended 34-day maximum supply of medication reduces waste resulting from patient noncompliance or physician modification of treatment.
Our disease state management programs provide for the integration of services from all aspects of health care to improve individual patient outcomes and reduce the cost of treating a disease. Patient education is the key to this approach.


Utilization Management

Continuous improvement is an ongoing process at GS-POPS. The main objective of the on-line drug utilization review program is the ongoing review which allows:

Examine drug utilization before, during and after pharmacists dispense prescriptions.
Identify opportunities for clinical counseling and intervention so that patients may receive appropriate drug therapy based on current medical guidelines.
Prevent or mediate problems such as patient over and under-utilization, abuse, duplicate prescriptions and drug interactions.
Reduce the incidence of drug treatment failures, drug induced illnesses, unnecessary hospital utilizations and other expensive medical treatments.


Unique GS POPS Advantages

Some of the advantages to letting GS-POPS fill your company's pharmaceutical needs:

1,700 independent and chain pharmacies throughout New Jersey
60,000 participating pharmacies nationwide
Up-to-the-minute claims processing through an on-line computer system
Generic drug incentives
Maintenance medication program
Disease state management
Bi-monthly reports
Toll-free customer and client service hotlines
Customized plastic ID cards


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