Uncomplicating Pharmacy Benefits: How We’re Redefining Value and Care

Uncomplicating Pharmacy Benefits: How We’re Redefining Value and Care
July 16, 2025 Sue Riordan
female pharmacist with customer

In today’s complex health care landscape, pharmacy benefits can often add to the confusion for employers and members. But at Meritain Health®, we believe it’s not meant to be this way. Through our Meritain Health Pharmacy Solutions (MPS) offering, we’re proving that high-quality pharmacy benefits can not only be simpler—but can also drive exceptional value. By leveraging our scale, integrating built-in savings programs, clinical excellence and unique member-first strategies, we’re redefining what it means to deliver pharmacy benefits with both value and care.

A simpler approach, real results

Comprehensive pharmacy benefits extend beyond access to medications—they’re also about delivering positive outcomes, affordability and seamless experiences. At MPS, we’re raising the bar through:

    • Clinical excellence. Our programs ensure high-quality care and support while minimizing disruption and driving savings. We focus on formulary control, biosimilar and generic-first strategies and a range of GLP-1 plan designs.
    • Unmatched size and scale. Through our relationship with CVS Health®, we offer some of the most competitive pricing in the industry. This results in low net costs for members and employers of all sizes.
    • Health-centered practices. Member health remains paramount—we’ve made it central to each pharmacy experience our team offers.
Built-in value, with no extra fees

One of the most powerful aspects of MPS is what’s included. For example, our CARE Program is an in-house patient advocacy initiative that proactively reduces specialty drug spend—saving an average of $14,000 per case. It’s something we proudly offer at no additional cost.

We also offer several other programs as part of our standard offering, with no hidden fees or extra hoops. These measurable savings programs include Rx Smart Savings™, copay optimization and patient assistance programs. Through Rx Smart Savings, we work with physicians to help members switch to safe, lower-cost generic prescriptions, driving up to 10 percent in annual plan savings.

Putting members at the heart

At the end of the day, pharmacy care is personal. That’s why our programs are built to support members at every step throughout their health care journey. This commitment to putting members first truly lies at the heart of MPS. Whether it’s simplifying access to medications, reducing out-of-pocket costs or providing expert clinical guidance—our people-first mentality is very important to us. While possibly a less tangible way of redefining value, to us, it’s one of the most meaningful.

Future look: what’s next for pharmacy

As pharmacy costs continue rising and new therapies emerge, employers need someone in their corner who can adapt, innovate and consistently deliver. At Meritain Health and Meritain Health Pharmacy Solutions, we’re not just managing pharmacy benefits. We’re reimagining them—and redefining what it means to deliver value.