Questions plan sponsors ask us.
The basics
What is ScriptDirect?
An end-to-end pharmacy benefit for self-funded plans. We provide physician consults, prescriptions, pharmacy dispensing, home delivery, refills, billing and reporting, at a transparent plan price well below typical PBM cost.
Do we have to change our PBM?
No. ScriptDirect is a carved-out specialty benefit that runs alongside your current PBM. Your network, formulary and plan design stay the same.
Who is it for?
Any organization with a self-funded or level-funded health plan: employers, union funds, public entities, health systems, universities, church and tribal plans, and pools.
How do I know if our plan is self-funded?
Ask your HR team, fund office or broker. If you pay claims from your own funds or a trust, often with stop-loss coverage, you're self-funded. We can help you confirm.
What does it cost to set up?
Nothing. There is no implementation fee and no minimum.
Savings & billing
How much will we save?
Most plans see 50–65% lower cost in the covered categories. Request a free analysis for numbers on your own population.
How are we billed?
Monthly, at the agreed plan price per prescription, with a statement by category.
What do members pay?
You decide. You can set a copay or offer the benefit at $0 to the member.
How does this affect our stop-loss?
Lower specialty Rx claims improve your claims experience, which helps at renewal.
Members & care
How do members sign up?
Through a private online portal. Intake takes 10–15 minutes, followed by a telehealth consult.
Who prescribes?
Board-certified physicians licensed in the member's state, based on independent clinical judgment. Physicians are paid per consult, never per prescription.
How fast do members get medication?
It ships within 2–4 business days of the prescription.
Can retirees and dependents use it?
Yes, if they're enrolled in your plan.
Can every member get GLP-1s?
Every member who is clinically eligible, as determined by the physician, can be prescribed a GLP-1 if your plan offers the weight management category.
Does the employer see members' health information?
No. ScriptDirect protects member data under HIPAA. Your organization receives only de-identified, aggregate reports.
Union funds & public entities
Can you present to our board of trustees?
Yes. We present in person or virtually, with fund counsel and consultants present.
Does this fit a Taft-Hartley plan?
Yes. We provide written fee and compensation disclosure and monthly reporting for trustee oversight.
We're a governmental plan. Can you work within our procurement rules?
Yes. We respond to RFPs and RFIs and provide a full procurement packet.
Can a police, fire or teachers' welfare fund offer this as a supplemental benefit?
Yes. Welfare funds can add ScriptDirect for their members.
We're a church or tribal plan outside ERISA. Does this work for us?
Yes. We tailor the agreement to your governing documents.
Working with us
Do we need a broker?
No. Work with us through your broker or consultant, or contract directly. The program is the same either way.
We have a broker. Will you work with them?
Yes. Tell us who they are and we'll bring them in.
How long does it take to launch?
Members can start within 2 weeks of the agreement being signed.
What do you need for a savings analysis?
Your covered member count to start. A census or Rx claims summary makes it more precise.
Can we choose which categories to offer?
Yes.
See what your plan would save.
Tell us about your plan. We'll send a category-by-category savings analysis within 24 business hours. Free, no commitment.