At ExhaleRx, we work with multiple self-funded plans and PBM-aligned groups facing a similar challenge:
π 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:
π Lupron Depot
π Stelara
π Ozempic
π Trulicity
π Xolair
π Jardiance
π Farxiga
π Xarelto
π Glyxambi
π Entresto
π Otezla
π Dexcom G7 Sensors
π Semglee
π Xigduo XR
π Dificid
π Paxlovid
Alongside continued utilization of high-cost biologics:
Humira | Enbrel | Skyrizi | Tremfya | Cosentyx | Rinvoq | Dupixent
β οΈ The Common Problem
Across plans, we typically see:
π Per-script costs exceeding $20,000
π Increasing demand across GLP-1 and specialty medications
π Pricing inconsistencies between suppliers
π Limited transparency into true acquisition cost
βοΈ The ExhaleRx Model
What differentiates ExhaleRx is not just access β itβs execution at scale, particularly on logistics.
UK-Based
Reliable access to branded medications
βοΈ Best-in-Class Cold Chain Logistics
This is where we consistently outperform:
β’ Advanced temperature-controlled packaging
β’ Strict handling protocols from dispatch to delivery
β’ Average 36-hour average delivery as soon as order is received
β’ Designed to eliminate delays and protect product integrity
π¦ Speed + Reliability for High-Value Therapies
Our model is built specifically for specialty and GLP-1 medications, where timing and handling are critical
π Formulary-Level Cost Alignment
Reducing spread and normalizing pricing across high-cost categories
π Direct Supply Chain Access
Fewer intermediaries, tighter control, better economics
β The Result (Typical Outcome)
π° Meaningful reduction in per-script costs
π° Stabilized pricing across key therapies
π° Significant savings on specialty biologics
π° Six-figure annualized savings potential per plan
All while maintaining:
βοΈ Branded medications only
βοΈ No disruption to patient care
βοΈ Full operational transparency
π‘ The Reality Across Plans
This isnβt a one-off result β itβs a repeatable model.
Most plans try to reduce costs by limiting access.
We focus on optimizing how medications are sourced, handled, and delivered β where the biggest inefficiencies exist.
Thatβs where ExhaleRx consistently delivers results. π
π© 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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