If you currently take high-cost prescriptions, you may be contacted!

Payer Matrix is a new service that EmpiRx is using for 2021 that helps with cost assistance for certain members who are taking high cost drugs. Qualified employees will be identified and receive a letter indicating the following:

We recognize the heavy burden specialty medication expenses can be on you and your families. With costs expected to continue to rise, our efforts are focused on developing solutions that can reduce costs for specialty drug utilizers, making them more accessible and obtainable.

We are pleased to share that Concordia Plans will now provide an employee assistance program, for relief of select high dollar specialty drug costs.  In partnership with EmpiRx Health, your Pharmacy Benefit Manager, we are implementing the Specialty Cost Containment Solution, powered by Payer Matrix, effective 1/1/2021.   With this program, alternative funding for select high-cost specialty drugs may be obtained, where applicable, and your out-of-pocket costs could be reduced.  Together, EmpiRx Health and Payer Matrix will utilize manufacturer assistance programs to help you, as members, receive the maximum value possible.  

A Payer Matrix Care Coordinator will reach out if one of your medications has an available manufacturer assistance program.  Care Coordinators are clinicians with specialty medication expertise. They coordinate the details with you and your physician if you qualify for assistance.  The Care Coordinator also works on your behalf to help you receive your specialty medication on time, every month, once in the program.

If you receive a letter or phone call from this company, it is required that you sign up with them to process your prescriptions. If you are not contacted by this company, your prescription may not currently qualify for assistance.

—Sarah Gartman, Assistant Director-Human Resources 

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