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BACKGROUNDER:  Iowa Priority Prescription Savings Program

Overview

The Iowa Priority Prescription Savings Program is a new plan geared toward alleviating the burden of high-cost prescription medication for Iowa’s Medicare eligible population. The program, administered by the Iowa Prescription Drug Corporation, aligns the objectives of patients, physicians, pharmacists and pharmaceutical manufacturers to decrease costs and promote effective drug utilization.

Components

For a $20.00 annual fee, enrollees receive the following:
  • Varied drug discounts at point of sale
  • A thorough Brown Bag assessment to be performed by their pharmacist or physician.
Brown Bag Assessment
The program’s Brown Bag Assessment is designed to promote cost-effective, and highly effectual therapies. The assessment will review all prescription, over the counter and herbal medications currently used by the enrollee. The pharmacist or physician performing this assessment will receive $25.00 for completing the necessary information.

 


Jennifer Scoles at 816.435.7497
jennifer.scoles@argushealth.com


Pharmacy Network Rate

Argus has created a network, ANA 13, for the Iowa Priority program which pays at Usual and Customary or:

  • Preferred Brand – AWP minus (-) 10%, plus $6.50 dispensing fee
  • Non-Preferred Brand – AWP minus (-) 10%, plus $4.50 dispensing fee
  • Non-MAC Generic – AWP minus (-) 20%, plus $6.50 dispensing fee
  • MAC Generic– (HCFA), plus a $6.50 dispensing fee
  • Compounded Claims – U&C minus (-) 10%, plus a $9.50 dispensing fee
return to: Argus Releases retun to Argus Releases
Argus is a leading independent provider of claims processing, information services and administrative support for pharmacy program management. Since its founding in 1986, Argus has grown from processing 1 million claims to processing more than 165 million claims for 24 million members in the first nine months of this year. Argus is a pharmacy benefit partner - offering full disclosure, 100% of rebate dollars to customers and a broad range of products and services to fully satisfy customer needs. A proven tradition of excellence as a claims processor, processing hundreds of edits per second for more than 270,000 unique benefit plans, helps further set Argus apart. Building on this solid foundation, Argus has expanded its offering to include reporting features, reimbursements, call center, pharmacy network management, clinical information services and rebate contracting and administration. Argus' goal is to provide a total package of pharmacy benefit capabilities to its customers.