Payer cost deflection

Evaluate Specialty Drug Spend. Compare Package-Level References.

A single specialty claim can materially affect a self-funded plan. US Med Access helps brokers, consultants, and TPAs identify medication-level reference differences that may warrant independent clinical, legal, regulatory, and logistics review.

Deflection 80% difference in selected package references
Model Opt-In member-first sourcing with voluntary participation
Audit Plan claims list matching against EU pharmacy quotes

Interactive Claims Calculator

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Select a drug and member count to see the estimated financial impact.

Compliant Integration Made Simple

We do not replace your pharmacy benefit manager (PBM). We act as an out-of-country specialty drug channel for high-cost claims, giving plans a compliant tool to reduce risk.

1

Claim Identification

The TPA, broker, or employer reviews pharmacy claims to identify candidates taking high-cost specialty drugs (e.g. oncology, chronic immunology, rare diseases) listed in our EU dispensing pharmacy catalog.

2

Opt-In Member Sourcing

Enrolling is completely voluntary for the member. When they opt in, we coordinate the collection of their US prescription and introduce them to the licensed European dispensing pharmacy.

3

Direct Member Fulfillment

The EU dispensing pharmacy dispenses and ships the medication directly to the member's home or supervising clinic via cold chain courier, with shipping paid by the plan sponsor at a fraction of US cost.

Review Controls

  • Route Review: Product storage, packaging qualification, monitoring, carrier capability, and destination requirements are assessed for the specific route.
  • Provider Credentials: Dispensing-provider licensing, product scope, and relevant documentation should be confirmed for each request.
  • Minimum Necessary Data: Initial analysis should use medication-level information without patient names, prescriptions, or protected health information.
  • Independent Decisions: Plan, clinical, legal, regulatory, and import decisions remain with the appropriate responsible parties.

Strategic Benefits for Plan Sponsors & Advisors

By connecting with international pharmacy prices, self-funded employers maintain member health benefits without compromising financial stability:

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Significant Deflection

Identify selected packages where dated EU reference figures differ materially from captured US cash benchmarks and merit a deeper review.

Regulatory Context

Surface FDA personal-importation context and the product, prescription, importer, documentation, and destination questions that require case-specific review.

Program Design Context

Give plan stakeholders clearer medication, package, pricing, and operational information before deciding whether a voluntary program is appropriate.

Request a Specialty Claim Sourcing Audit

Start with a medication-only list containing brand, active ingredient, strength, quantity, and current benchmark. Do not submit member names, prescriptions, diagnoses, or protected health information through the public form.

Start Plan Sourcing Audit Explore Sourced Drugs

Review the international sourcing buyer framework  ·  See how package-level price comparisons work