Opioid Risk Management Program

Innovating. Educating. Advocating.

Inspired by our guiding principles, our free Opioid Risk Management Program addresses the misuse of prescription opioids through monitoring, education, and intervention. By combatting the crisis of abuse and addiction, improving patient safety, and reducing drug spend, our innovative solution aims to reduce overdose incidents and increase public health outcomes. 

Opioid Prescription Rate


Serve You Rx

Program Overview



Our Opioid Risk Management Program starts where most addictions do - at the point of prescribing and dispensing. Here we ensure:

  • Quality Limits
  • Point-of-Service Drug Utilization Review (DUR)
  • Prior authorization



Hindsight matters too. This part of our program includes:

  • Review of opioid prescribing patterns
  • Dispensing patterns for pharmacies
  • Member utilization review


Cost Managing

When opioid use is up, so are costs. While the primary goal is to improve member health, the following savings strategies assist too:

  • Formulary management 
  • Step therapy 


Drug Management

When we can see the problem, we can help solve it. The following help us do just that:

  • Prescription Drug Monitoring Program participation 
  • Fraud, waste, and abuse safeguarding


National Advocacy

We take our position in the pharmaceutical supply chain seriously, and do the following to combat the epidemic:

  • Sponsorship and promotion of various events and programs
  • Education strategies 
  • Safe drug disposal program

Featured Clinical Programs

Specialty Drug Management

Contain costs to ensure your client achieves their desired outcomes for dollars spent on specialty medications. We provide flexible options so you can balance clinical management and patient choice.

With our comprehensive specialty drug management solution, you'll be able to provide strategies for containing drug costs and managing trend.

Diabetes care plus

The leading non-specialty drug cost driver, diabetes, affects ten percent of Americans.

Our Diabetes Care Plus Program uses a comprehensive approach to improve your client's member health education and outcomes by providing tailored interventions, increasing care access, and improving medication adherence. 

Opioid Risk Management

Through monitoring, education, and intervention, our innovative solution minimizes the epidemic's grave health, safety, and financial risks. By reducing the likelihood of misuse, our program aims to be the beginning of opioid addiction's end. Our free Opioid Risk Management Program highlights the importance we place on responsibility and accountability.