At ExhaleRx, we work with multiple self-funded plans and PBM-aligned groups facing a similar challenge:
👉 A small group of medications accounting for a disproportionate share of total spend
This is one recent example that reflects what we consistently see across plans.
The primary cost drivers included:
💉 Lupron Depot
💉 Stelara
💉 Ozempic
💉 Trulicity
💉 Xolair
💊 Jardiance
💊 Farxiga
💊 Xarelto
💊 Glyxambi
💊 Entresto
💊 Otezla
📟 Dexcom G7 Sensors
💉 Semglee
💊 Xigduo XR
💊 Dificid
💊 Paxlovid
Alongside continued utilization of high-cost biologics:
Humira | Enbrel | Skyrizi | Tremfya | Cosentyx | Rinvoq | Dupixent
⚠️ The Common Problem
Across plans, we typically see:
📈 Per-script costs exceeding $20,000
📈 Increasing demand across GLP-1 and specialty medications
📈 Pricing inconsistencies between suppliers
📈 Limited transparency into true acquisition cost
⚙️ The ExhaleRx Model
What differentiates ExhaleRx is not just access — it’s execution at scale, particularly on logistics.
UK-Based
Reliable access to branded medications
❄️ Best-in-Class Cold Chain Logistics
This is where we consistently outperform:
• Advanced temperature-controlled packaging
• Strict handling protocols from dispatch to delivery
• Average 36-hour average delivery as soon as order is received
• Designed to eliminate delays and protect product integrity
📦 Speed + Reliability for High-Value Therapies
Our model is built specifically for specialty and GLP-1 medications, where timing and handling are critical
📊 Formulary-Level Cost Alignment
Reducing spread and normalizing pricing across high-cost categories
🔗 Direct Supply Chain Access
Fewer intermediaries, tighter control, better economics
✅ The Result (Typical Outcome)
💰 Meaningful reduction in per-script costs
💰 Stabilized pricing across key therapies
💰 Significant savings on specialty biologics
💰 Six-figure annualized savings potential per plan
All while maintaining:
✔️ Branded medications only
✔️ No disruption to patient care
✔️ Full operational transparency
💡 The Reality Across Plans
This isn’t a one-off result — it’s a repeatable model.
Most plans try to reduce costs by limiting access.
We focus on optimizing how medications are sourced, handled, and delivered — where the biggest inefficiencies exist.
That’s where ExhaleRx consistently delivers results. 🚀
📩 If your plan is seeing similar cost concentration across specialty or GLP-1 medications, happy to share how this model can be applied.
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