Opioid Case Study

Annual Savings of  $192,000


  • Member filling pain medication at a cost of $16,000/month
  • Questions about why the provider was using such expensive pain medication and was there an alternative


  • Initiated conversations with the provider and carrier to discuss alternative medications
  • Provider agreed the prescription may not be necessary
  • Member is off the medication and going through detox therapy for opioid addiction

Client Win

  • $16,000/month cost was discontinued on behalf of the client

Unnecessary cost to 
client eliminated