$559,810 in potentialplan savings.
A targeted review of 32 medications across 501 claims identifies an opportunity to reduce the reviewed plan spend by 39.8%.
Executive summary
Reviewed plan spending · USDCurrent Plan Cost Reviewed
Across the reviewed medications
Projected RxProtect Cost
Potential plan spend with RxProtect
Potential Plan Savings
Identified savings opportunity
Potential Cost Reduction
Of reviewed current plan spending
32 medications reviewed501 claims analyzed
A lower projected plan cost
Current spending compared with the RxProtect projection.
$559,810 less in plan spending across the reviewed medications.
Where savings are concentrated
TOP 5 MEDICATIONSLargest potential plan savings opportunities.
These five medications account for $359,007—approximately 64.1% of the identified savings opportunity.
Medication-level analysis
Plan costs and potential savings across all reviewed medications.
| 11 | $257,055 | $133,876 | $123,179 | 47.9% | |
Plan Paid / Claim $23,369RxProtect Total / Claim $12,170 | |||||
| 8 | $164,190 | $94,153 | $70,037 | 42.7% | |
Plan Paid / Claim $20,524RxProtect Total / Claim $11,769 | |||||
| 172 | $261,038 | $195,545 | $65,493 | 25.1% | |
Plan Paid / Claim $1,518RxProtect Total / Claim $1,137 | |||||
| 13 | $125,521 | $70,208 | $55,313 | 44.1% | |
Plan Paid / Claim $9,655RxProtect Total / Claim $5,401 | |||||
| 3 | $87,257 | $42,272 | $44,985 | 51.6% | |
Plan Paid / Claim $29,086RxProtect Total / Claim $14,091 | |||||
| 23 | $95,162 | $65,028 | $30,134 | 31.7% | |
Plan Paid / Claim $4,137RxProtect Total / Claim $2,827 | |||||
| 8 | $59,728 | $31,239 | $28,489 | 47.7% | |
Plan Paid / Claim $7,466RxProtect Total / Claim $3,905 | |||||
| 6 | $42,317 | $21,686 | $20,631 | 48.8% | |
Plan Paid / Claim $7,053RxProtect Total / Claim $3,614 | |||||
| 30 | $36,394 | $22,236 | $14,158 | 38.9% | |
Plan Paid / Claim $1,213RxProtect Total / Claim $741 | |||||
| 23 | $23,592 | $13,320 | $10,272 | 43.5% | |
Plan Paid / Claim $1,026RxProtect Total / Claim $579 | |||||
| 7 | $21,845 | $12,053 | $9,792 | 44.8% | |
Plan Paid / Claim $3,121RxProtect Total / Claim $1,722 | |||||
| 20 | $20,798 | $11,218 | $9,580 | 46.1% | |
Plan Paid / Claim $1,040RxProtect Total / Claim $561 | |||||
| 4 | $24,359 | $15,856 | $8,503 | 34.9% | |
Plan Paid / Claim $6,090RxProtect Total / Claim $3,964 | |||||
| 17 | $14,683 | $8,035 | $6,648 | 45.3% | |
Plan Paid / Claim $864RxProtect Total / Claim $473 | |||||
| 3 | $11,987 | $6,066 | $5,921 | 49.4% | |
Plan Paid / Claim $3,996RxProtect Total / Claim $2,022 | |||||
| 18 | $14,072 | $8,510 | $5,562 | 39.5% | |
Plan Paid / Claim $782RxProtect Total / Claim $473 | |||||
| 6 | $9,805 | $4,244 | $5,561 | 56.7% | |
Plan Paid / Claim $1,634RxProtect Total / Claim $707 | |||||
| 9 | $10,975 | $5,943 | $5,032 | 45.8% | |
Plan Paid / Claim $1,219RxProtect Total / Claim $660 | |||||
| 21 | $11,510 | $6,730 | $4,780 | 41.5% | |
Plan Paid / Claim $548RxProtect Total / Claim $320 | |||||
| 8 | $10,478 | $6,106 | $4,372 | 41.7% | |
Plan Paid / Claim $1,310RxProtect Total / Claim $763 | |||||
| 19 | $15,409 | $11,680 | $3,729 | 24.2% | |
Plan Paid / Claim $811RxProtect Total / Claim $615 | |||||
| 4 | $5,990 | $2,419 | $3,571 | 59.6% | |
Plan Paid / Claim $1,497RxProtect Total / Claim $605 | |||||
| 7 | $8,091 | $4,898 | $3,193 | 39.5% | |
Plan Paid / Claim $1,156RxProtect Total / Claim $700 | |||||
| 9 | $21,709 | $18,841 | $2,868 | 13.2% | |
Plan Paid / Claim $2,412RxProtect Total / Claim $2,093 | |||||
| 9 | $7,791 | $4,953 | $2,838 | 36.4% | |
Plan Paid / Claim $866RxProtect Total / Claim $550 | |||||
| 8 | $6,579 | $3,827 | $2,752 | 41.8% | |
Plan Paid / Claim $822RxProtect Total / Claim $478 | |||||
| 8 | $7,542 | $5,088 | $2,454 | 32.5% | |
Plan Paid / Claim $943RxProtect Total / Claim $636 | |||||
| 9 | $7,622 | $5,195 | $2,427 | 31.8% | |
Plan Paid / Claim $847RxProtect Total / Claim $577 | |||||
| 11 | $7,486 | $5,145 | $2,341 | 31.3% | |
Plan Paid / Claim $681RxProtect Total / Claim $468 | |||||
| 4 | $6,660 | $4,465 | $2,195 | 33.0% | |
Plan Paid / Claim $1,665RxProtect Total / Claim $1,116 | |||||
| 2 | $3,161 | $1,313 | $1,848 | 58.5% | |
Plan Paid / Claim $1,581RxProtect Total / Claim $657 | |||||
| 1 | $4,145 | $2,993 | $1,152 | 27.8% | |
Plan Paid / Claim $4,145RxProtect Total / Claim $2,992 | |||||
| Full analysis total32 medications | 501 | $1,404,951 | $845,141 | $559,810 | 39.8% |
| Medication | Claims | Current Plan Cost | Projected RxProtect Cost | Potential Plan Savings | Savings % |
|---|---|---|---|---|---|
| SKYRIZI PEN Plan Paid / Claim: $23,369 RxProtect Total / Claim: $12,170 | 11 | $257,055 | $133,876 | $123,179 | 47.9% |
| TREMFYA Plan Paid / Claim: $20,524 RxProtect Total / Claim: $11,769 | 8 | $164,190 | $94,153 | $70,037 | 42.7% |
| MOUNJARO Plan Paid / Claim: $1,518 RxProtect Total / Claim: $1,137 | 172 | $261,038 | $195,545 | $65,493 | 25.1% |
| KESIMPTA Plan Paid / Claim: $9,655 RxProtect Total / Claim: $5,401 | 13 | $125,521 | $70,208 | $55,313 | 44.1% |
| STELARA Plan Paid / Claim: $29,086 RxProtect Total / Claim: $14,091 | 3 | $87,257 | $42,272 | $44,985 | 51.6% |
| DUPIXENT Plan Paid / Claim: $4,137 RxProtect Total / Claim: $2,827 | 23 | $95,162 | $65,028 | $30,134 | 31.7% |
| TALTZ Plan Paid / Claim: $7,466 RxProtect Total / Claim: $3,905 | 8 | $59,728 | $31,239 | $28,489 | 47.7% |
| RINVOQ Plan Paid / Claim: $7,053 RxProtect Total / Claim: $3,614 | 6 | $42,317 | $21,686 | $20,631 | 48.8% |
| OZEMPIC Plan Paid / Claim: $1,213 RxProtect Total / Claim: $741 | 30 | $36,394 | $22,236 | $14,158 | 38.9% |
| NURTEC Plan Paid / Claim: $1,026 RxProtect Total / Claim: $579 | 23 | $23,592 | $13,320 | $10,272 | 43.5% |
| VRAYLAR Plan Paid / Claim: $3,121 RxProtect Total / Claim: $1,722 | 7 | $21,845 | $12,053 | $9,792 | 44.8% |
| UBRELVY Plan Paid / Claim: $1,040 RxProtect Total / Claim: $561 | 20 | $20,798 | $11,218 | $9,580 | 46.1% |
| DESCOVY Plan Paid / Claim: $6,090 RxProtect Total / Claim: $3,964 | 4 | $24,359 | $15,856 | $8,503 | 34.9% |
| TRELEGY ELLIPTA Plan Paid / Claim: $864 RxProtect Total / Claim: $473 | 17 | $14,683 | $8,035 | $6,648 | 45.3% |
| SELARSDI Plan Paid / Claim: $3,996 RxProtect Total / Claim: $2,022 | 3 | $11,987 | $6,066 | $5,921 | 49.4% |
| ELIQUIS Plan Paid / Claim: $782 RxProtect Total / Claim: $473 | 18 | $14,072 | $8,510 | $5,562 | 39.5% |
| XARELTO Plan Paid / Claim: $1,634 RxProtect Total / Claim: $707 | 6 | $9,805 | $4,244 | $5,561 | 56.7% |
| FARXIGA Plan Paid / Claim: $1,219 RxProtect Total / Claim: $660 | 9 | $10,975 | $5,943 | $5,032 | 45.8% |
| JARDIANCE Plan Paid / Claim: $548 RxProtect Total / Claim: $320 | 21 | $11,510 | $6,730 | $4,780 | 41.5% |
| WEGOVY Plan Paid / Claim: $1,310 RxProtect Total / Claim: $763 | 8 | $10,478 | $6,106 | $4,372 | 41.7% |
| MIEBO Plan Paid / Claim: $811 RxProtect Total / Claim: $615 | 19 | $15,409 | $11,680 | $3,729 | 24.2% |
| REXULTI Plan Paid / Claim: $1,497 RxProtect Total / Claim: $605 | 4 | $5,990 | $2,419 | $3,571 | 59.6% |
| VEOZAH Plan Paid / Claim: $1,156 RxProtect Total / Claim: $700 | 7 | $8,091 | $4,898 | $3,193 | 39.5% |
| CAPLYTA Plan Paid / Claim: $2,412 RxProtect Total / Claim: $2,093 | 9 | $21,709 | $18,841 | $2,868 | 13.2% |
| ZORYVE Plan Paid / Claim: $866 RxProtect Total / Claim: $550 | 9 | $7,791 | $4,953 | $2,838 | 36.4% |
| TOUJEO SOLOSTAR Plan Paid / Claim: $822 RxProtect Total / Claim: $478 | 8 | $6,579 | $3,827 | $2,752 | 41.8% |
| REPATHA SURECLICK Plan Paid / Claim: $943 RxProtect Total / Claim: $636 | 8 | $7,542 | $5,088 | $2,454 | 32.5% |
| LINZESS Plan Paid / Claim: $847 RxProtect Total / Claim: $577 | 9 | $7,622 | $5,195 | $2,427 | 31.8% |
| CEQUA Plan Paid / Claim: $681 RxProtect Total / Claim: $468 | 11 | $7,486 | $5,145 | $2,341 | 31.3% |
| QULIPTA Plan Paid / Claim: $1,665 RxProtect Total / Claim: $1,116 | 4 | $6,660 | $4,465 | $2,195 | 33.0% |
| XIGDUO XR Plan Paid / Claim: $1,581 RxProtect Total / Claim: $657 | 2 | $3,161 | $1,313 | $1,848 | 58.5% |
| FIDAXOMICIN Plan Paid / Claim: $4,145 RxProtect Total / Claim: $2,992 | 1 | $4,145 | $2,993 | $1,152 | 27.8% |
| Full analysis total32 medications | 501 | $1,404,951 | $845,141 | $559,810 | 39.8% |
Analysis reflects the medications and claims provided. Savings shown are potential plan savings. Per-claim amounts are rounded.

