Client: Cox HealthPlans

Cox HealthPlans is a regional health plan in Springfield, Missouri, that offers services to
individuals, provides children-only plans and employer-sponsored health plans. An affiliate of CoxHealth, the region’s only locally owned, not-for-profit health system, Cox HealthPlans focuses on offering affordable plans with the highest quality service to over 43,000 people in Missouri. As the only provider-owned health insurance company in Missouri, CHP’s mission is to support health improvement in the communities they serve by offering competitive insurance products based on quality outcomes and evidence-based healthcare.

An EnvisionRx client since 2016, CHP was looking for a pharmacy benefit manager that shared their culture of excellent customer service, had the flexibility to accommodate their complex benefit design system without disruption, could provide clinical expertise and offer competitive pricing.

Clinical Expertise to Drive Informed Decisions Regarding Complex and Ever-Changing Drug Pipeline

CHP required clinical support to help manage their pharmacy benefits. They were looking for a partner that could provide actionable clinical program recommendations.

Flexibility to Accommodate Complex Benefit Designs

CHP manages multiple lines of business with various benefit designs and copay structures. They wanted a PBM with the flexibility to accommodate their elaborate benefit design system accurately, with the ability to add new groups quickly, without
disrupting their existing process or members.

Commitment to Customer Service Excellence

CHP focuses on providing the highest quality customer service to their members and needed a pharmacy benefit management partner that shared this value and was able to demonstrate their commitment to serving members.

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