Reference price program

MaxChoice

A thoughtfully designed approach to prescription pricing that benefits employers and employees alike, by using the natural variation in drug prices driven by a drug’s uniqueness, its research investment and its patent status.

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How MaxChoice worksMaxChoice focuses on drug categories with several equally safe, effective, low-cost options. The designated product carries a drug-specific copay that saves money for the employee and employer. Members who pick a higher-cost alternative pay the difference through a higher copay. Typical savings: 5% to 15% of plan cost.

MaxChoice zeroes in on specific categories of medications where there is an array of low-cost alternatives that are equally safe and effective. The MaxChoice-designated product is assigned a drug-specific copay that enables savings for both the employee and the employer. If an employee opts for an alternative with a higher cost, the extra expense is covered through the increased copay.

More advantages

Choice for members. Protection for the plan.

Prescription drug cost partner

MaxChoice manages prescription drug costs without compromising treatment quality or your employees’ health outcomes.

Easy to understand

The program delivers significant savings, is simple to explain and offers a wide range of choices for each individual’s needs.

Maximum protection

MaxChoice protects against escalating prescription drug costs while keeping the quality of care intact.

MaxChoice FAQ

What is the MaxChoice Reference Price Program?

MaxChoice targets medication categories with an array of equally safe and effective low-cost alternatives. The MaxChoice-designated product gets a drug-specific copay that saves money for both the employee and the employer.

What happens if an employee chooses a more expensive drug?

Employees keep the choice. If an employee opts for a higher-cost alternative, the employee covers the extra expense through an increased copay.

How much does MaxChoice save?

MaxChoice typically saves 5% to 15% of overall plan cost.

Preview of the MaxChoice one-sheet

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