Specialty medication assistance

MaxProtect

When a patient is prescribed a specialty medication, it may be the only drug that effectively treats their condition. MaxProtect helps your employees get it while protecting your plan from its cost.

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A community pharmacist helping a member choose a medication

MaxProtect in shortMaxProtect is MaxCare’s Specialty Assistance Program. We verify which members qualify for manufacturer assistance on specialty drugs, enroll them and re-enroll them when needed. The result is a 35% average reduction in specialty plan costs and $950 in average annual savings for participating members.

35%average reduction in specialty plan costs
$950average annual savings per participating member
15%typical decrease in overall plan cost

Why specialty drugs need their own strategy

Specialty medications account for 50% or more of drug spend, yet they make up only 1 to 2% of total prescriptions. There are often significant costs for both the patient and the employer.

We connect the patient to the manufacturer’s assistance program by verifying eligibility and enrolling them in the relevant programs. We even re-enroll patients when needed, so they keep receiving manufacturer assistance toward the cost of these drugs.

Protect your healthcare budget

MaxProtect ensures the most cost-effective and appropriate use of specialty medications, as your health plan requires.

Protect your employees’ health

Access to necessary specialty medications, with less cost burden on your employees and your plan.

A program that adapts to you

Flexible for your employees and your budget

  1. Solutions for employers and plan sponsors

    A comprehensive approach to specialty medication cost: employees get the treatments they need while healthcare spending stays under control.

  2. Proactive management of specialty costs

    You are not just reacting to specialty costs. We proactively connect eligible patients with manufacturer assistance programs.

  3. Support for your employees’ health

    MaxProtect doesn’t just reduce costs. It supports employee wellbeing by keeping necessary specialty medications within reach.

MaxProtect FAQ

What is MaxProtect?

MaxProtect is MaxCare’s Specialty Assistance Program. It helps employees get the specialty medications they need while reducing the plan’s exposure to their high cost, by connecting patients to manufacturer assistance programs.

What does MaxCare do for members in MaxProtect?

MaxCare verifies each patient’s eligibility for manufacturer assistance, enrolls them in the relevant programs and re-enrolls them when needed so assistance continues.

How much does MaxProtect save?

MaxProtect brings a 35% average reduction in specialty plan costs. Participating members save an average of $950 a year, with a typical 15% decrease in overall plan cost.

Related: MaxForward cost containment · Mastering specialty drug costs

Preview of the MaxProtect one-sheet

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