What is Value Max?
The Value Max program is designed for benefit plans that use Magellan Rx as their exclusive specialty provider and have members who take high-cost specialty medications. We identify the most common and costly drugs for which there is generous, non-needs-based copay assistance available, and connect members with these programs.
How does Value Max work?
Comprehensive drug list
Our comprehensive drug list includes medications that typically account for 95% of specialty claims costs.
Copay assistance program
Member cost share is raised to maximize manufacturer copay assistance. The increased member responsibility is paid by the copay assistance program and the plan receives the savings.
Member assistance dollars
Our program helps to identify member assistance dollars paid by the drug manufacturer and excludes them from the member’s deductible and out-of-pocket maximum.
Members can also take advantage of home delivery by Magellan Rx Pharmacy. We make it easy for members to quickly get their specialty medications while providing additional support to help them stay on track.
Who can use Value Max?
This program is available to health plans and employer groups looking for creative strategies to help drive down specialty drug costs.
Want to learn more?
Connect with us today to learn more about Value Max and how it can help manage costs associated with rising specialty spend.