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Turning Insight into Action with Clinical Outreach

Digital outreach has made it easier for members to find savings and understand their pharmacy benefits. Notifications and tools help people compare prices, explore coverage options, and make informed choices about their care. But some opportunities need a closer look that brings together data, clinical judgment, and provider collaboration.

That is where clinical engagement comes in.

It connects pharmacists and providers to review clinically approved, member-specific alternatives that maintain quality while reducing cost. These interactions transform information into action, turning potential savings into meaningful outcomes for members, providers, and plans.

Within the Levrx platform, savings opportunities are identified using each client’s formulary, plan design, and engagement rules. This ensures every opportunity is evaluated in context and routed through the most effective path, whether that means member-facing digital tools or direct pharmacist collaboration with providers.

These engagements typically fall into five primary pathways that reduce cost while maintaining the quality of care:

Brand to Generic: When a generic equivalent is available, members can achieve the same results at a much lower cost, often up to 80 to 85%1 less according to the FDA. These opportunities are commonly handled digitally, with members initiating the change and providers approving it.

Brand to Brand: If a generic is not available, another brand in the same therapeutic class may offer comparable outcomes at a lower price. These situations often call for pharmacist-to-prescriber collaboration to confirm value and ensure the switch aligns with treatment goals.

Generic to Generic: Even within generics, cost differences can exist. Comparing similar options such as lisinopril and benazepril can uncover incremental savings without disrupting therapy.

Dosage Form Change: A medication might be available as a capsule, tablet, or suspension, and one form may cost less while providing identical results. Pharmacist review ensures these changes are safe, consistent, and convenient for the member.

Dosage Optimization: Sometimes higher-strength tablets cost less per milligram than lower-dose versions. Adjusting strength, directions, or quantity while keeping the same daily dose can unlock hidden savings without altering therapy.

Each of these pathways begins with insight and ends with collaboration. Technology identifies where the opportunities exist, while pharmacists confirm what makes sense clinically and coordinate with providers to put those changes into action. It is a process that ensures every recommendation is evidence-based, sustainable, and aligned with the client’s overall strategy.

At Levrx, this process is never one size fits all. Each client’s plan design, formulary, and program rules guide how engagement is executed, ensuring interventions are personalized and relevant. This alignment helps Levrx clinicians focus on what matters most: opportunities that deliver real savings without compromising care.

Together, member tools and pharmacist-led engagement create a connected savings experience. Members see clear options, providers gain confidence in the changes being made, and plans benefit from measurable, lasting results.

Clinical engagement completes that experience. By combining digital efficiency, clinical expertise, and client-defined strategy, Levrx turns insight into impact, improving care, reducing costs, and strengthening trust across the entire pharmacy journey.

Source:

  1. https://www.fda.gov/drugs/frequently-asked-questions-popular-topics/generic-drugs-questions-answers#q3