Pharmacy & Medication Services
Smarter medication management
Finding lower costs, managing complex regimens, and navigating pharmacy benefits
Why do pharmacy services matter?
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Medications are essential but expensive—and the system is unnecessarily complicated. Hidden markups, confusing formularies, prior authorization requirements, and constantly changing prices. Weltrio cuts through the complexity to help employees get medications at the best possible price.
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See where your benefit plan is leaking
Find out what gaps exist — and what you can do without changing your plan.
We'll show you where money is leaking, risks are growing, and what you can fix within your current structure. No pressure to change brokers, carriers, or benefit design. Just clarity.
- Gap analysis based on your actual plan structure
- Clear findings you can share with your broker
- Recommendations that layer on — no disruption required
Pharmacy Sourcing
Finding lower-cost alternatives including generics, therapeutic substitutes, and international options where appropriate. The same medication can cost vastly different amounts depending on where and how you buy it.
Chronic Care Rx Management
Long-term medication management for ongoing conditions. We help ensure adherence, coordinate refills, monitor for interactions, and optimize regimens over time.
Specialty Drug Navigation
High-cost specialty medications require special handling—sourcing, authorization, and monitoring. We navigate this complex space to ensure access while managing costs.
Prescription Pre-Authorization
Many medications require insurance pre-approval. We handle the paperwork, appeals, and advocacy to ensure employees get approved for needed medications.
What Are Pharmacy & Medication Services?
Pharmacy & Medication Services help employees navigate the complex world of prescription medications—finding lower costs, managing complex regimens, and overcoming insurance barriers.
Pharmacy spending is a major healthcare cost driver, but much of the spending is unnecessary. Employees pay too much for brand medications when generics work. They fill prescriptions at expensive pharmacies when cheaper options exist. They give up on medications when prior authorizations fail.
Our services address each of these issues, ensuring employees get needed medications at the best possible price.
Why Are Pharmacy Costs So Confusing?
Most employers renew their health plans year after year without questioning the underlying assumptions. Brokers present options, carriers set rates, and leadership approves budgets based on incomplete information.
The result? Companies overpay for benefits employees don't use while missing coverage gaps that create real risk. They accept premium increases as inevitable rather than addressable. They lack visibility into where their money actually goes.
A Healthcare Risk Assessment changes that. It gives you the data and insight to make informed decisions, negotiate from a position of strength, and take control of one of your largest operating expenses.
How It Works
Pharmacy services provide ongoing support for all medication needs.
Medication Review
We review employee medication lists to identify optimization opportunities—lower-cost alternatives, better sourcing options, and potential issues.
Cost Optimization
We identify the best sourcing option for each medication—comparing pharmacies, exploring generics, and finding programs that reduce costs.
Authorization Support
When medications require prior authorization, we handle the process—submitting documentation and pursuing appeals when needed.
Ongoing Management
For chronic medications, we provide ongoing support—coordinating refills, monitoring for problems, and optimizing regimens over time.
When Should Employees Use Pharmacy Services?
Employees should contact us for pharmacy support when:
• Starting a new medication (to ensure best pricing)
• Facing high costs for current medications
• Medications require prior authorization
• Refills become complicated or expensive
• Managing multiple chronic medications
• Confused about formularies or pharmacy benefits
The earlier employees engage, the more optimization opportunity exists.
Where Do Pharmacy Services Apply?
Pharmacy services apply wherever employees obtain medications:
• Retail pharmacies (CVS, Walgreens, etc.)
• Mail-order pharmacies
• Specialty pharmacies for complex medications
• Hospital outpatient pharmacies
• International pharmacies when appropriate
We help employees find the best option for their situation.
Who Benefits from Pharmacy Services?
All employees taking medications benefit from pharmacy support:
• Anyone on chronic medications
• Employees facing high medication costs
• Those taking brand medications where generics exist
• People on specialty medications
• Anyone confused by pharmacy benefits
• Employees whose medications require prior authorization
See What Our Customers Are Saying
"What could have been data driven, was soon a conversation. Over 3 years with the best coaches, listeners, advisors you could ask for. If Monique didn't have an answer readily, she would note it, research it, and then update you on the answer. Always a positive meeting. Highly recommend!"
— Sue D.
“Our Medical Insurance Premiums were Out of Control! Thanks to Weltrio and their amazing team of healthcare experts, Weltrio is my single most-profitable cost center!”
— Cayuse CEO
Everything You Need to Know
At Weltrio, we are a medically trained team that works with HR and benefits partners at companies of all sizes to improve healthcare quality, reduce risk exposure, and optimize costs. We work within your existing plan structure—providing employers with clarity, trust, and transparency at every step. Whether you're upgrading your benefits plan or building from scratch, we've got you covered.
Is this the same as telemedicine?
No. Clinical support provides guidance and triage, not diagnosis or treatment. We help employees decide when and where to seek care.How many nurses will be assigned to our company?
Assignment depends on your company size and typical utilization. Smaller companies may share a primary nurse with backup coverage. Larger organizations get dedicated teams. Either way, employees experience consistent relationships with clinical professionals who know them.Who answers calls in the middle of the night?
Board-certified nurses from your Weltrio clinical team. We staff night shifts with experienced nurses who have full access to your company's benefits information and employee interaction history. It's not an outsourced answering service.What protocols do nurses use for triage?
Our nurses use evidence-based clinical decision support protocols developed from emergency medicine and primary care best practices. These protocols are regularly updated based on current medical guidelines and are customized for telephone/virtual assessment settings.How much does an unnecessary ER visit actually cost?
Average ER visits cost $2,200 or more—even for minor issues. Add lab work, imaging, or specialist consultation and costs climb quickly. The same conditions treated at urgent care typically cost $150-300, and telehealth visits run $50-75.
