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Domestic Plan Design
Considerations for 2018:
Pharmacy Considerations
•
Mandatory Mail Order for Maintenance Drugs
•
Alternative, More Efficient Formulary (Value PDL)
•
Enhanced Clinical Edits
•
Member Pay Difference when “DAW”
•
Evaluate Specialty Pharmacy Options
Diabetes in Top 4 of Specialty Med Spend – Consider 3rd
Party Preventive Program, such as Omada Health
Introduce CIGNA One Guide to Support Plan Elections –
Enhance Understanding of HDHPs
Increase $2,600 HDHP to $2,700, so Benefits Begin for
Individual After Deductible Satisfied
Evaluate Exclusive Offering of HDHPs