About Us

CAREFILL PRESCRIPTION BENEFITS is a North Carolina based provider of prescription benefit services.  Our purpose is to create win-win situations in pharmacy benefits for both our clients and their members. 

From a client’s perspective, the costs to provide benefits, particularly drug benefits, have risen dramatically.  However the need to retain quality employees is critical in today’s business climate.  From a member’s perspective, getting the appropriate medicines in a timely, hassle-free manner is crucial.  Never before has managing the two perspectives been more important.

Our unique approach addresses both perspectives and is based on the principles discussed below:

 
  • Absolute Integrity
  • Complete Capability
  • Utmost Flexibility
  • Superior Service
Integrity – In the pharmacy benefits arena, where many of the practices have not favored the payers or the members, integrity must be a prime consideration.  CareFill emphasizes caring for the individual receiving a prescription, and responding to their every need.  At the same time, we apply our expertise and experience toward cutting costs rather than maximizing profits.  We are against the traditional financial relationship between Pharmaceutical Manufacturers and PBM's, which drives the cost of prescriptions up.  Instead we pay close attention to every detail, and work diligently with prescribers and pharmaciststo maximize therapeutic benefit while minimizing cost.  Our approach is straight forward, proven, and very cost effective.          

Capability – CareFill Prescription Benefits offers a full range of services ranging from minimal to the most complex involvement.  Our capabilities include:

  • Benefit Review, Design, Optimization, and Implementation
  • Complete member enrollment services
  • Formulary design, optimization, review and updates
  • Claims Processing
  • Pharmacy network management
  • 90 day supply (both retail and mail)
  • Copay strategy management
  • Clinical Services
  • Reporting
  • Drug Spend Management
  • Cost Modeling

Flexibility – One advantage to working with us is that we work toward our client’s goals rather than steering them toward a one size fits all plan designed primarily around profit.  Our flexibility is practiced throughout the benefit management including pharmacy networks and contracts, 90 day supplies, formulary design, and custom reporting.  We value any request made by our clients and do our very best to accomodate them.  

Service – CareFill Prescription Benefits strives for 100% client and member satisfaction.  Some of the ways we accomplish this are:

  • CareFill ensures our members receive the appropriate meds in a timely and hassle free manner.  We continuously monitor claims and when there is an issue we address it immediately through the physician and / or the pharmacy.

  • Our clients, members, and providers have phone access to our staff 24/7/365 for immediate response to any inquiry or issue.  Each client is backed by a CareFill team who is trained to handle questions or problems as quickly as they arise.  In the event clients or members have a special concern our top level executives are available to address their needs.   

  • We promote our members leading healthier lives by providing additional services such as disease management programs, drug information programs, and access to one of our pharmacists 24/7/365. 

  • Every day we prove that superior service does not just happen; it arises from honesty, hard work, attention to detail, and not cutting corners strictly for profit.  If you would like to know more about how your business and your employees could benefit from our services, please contact us today. 

<< return to top of page