Pharmacy Procurement Program

Find out how much you could be saving on prescription costs. 

Is your organization searching for ways to manage increasing prescription drug costs while still meeting employee needs? Stop searching and start saving with a comprehensive fiduciary pharmacy procurement program.

Through a strategic partnership with National Integrative Health (NIH), we can help employers effectively reduce costs for them and their employees.

 

The Challenge

Benefitfocus claims-based analysis has confirmed prescription costs are a primary driver of our clients’ health care spend. 

9.4%

Prescription drug cost jumped this much in 20251

$250K

The potential cost of some specialty medications for employers, per employee per year2

>50%

Specialty drugs account for over half of pharmacy spend, despite being used by less than 2% of members3

How This Solution is Different

By combining clinical oversight, rigorous auditing, and data-driven procurement, NIH strives to ensure employers and members receive safe, high-quality medications while minimizing unnecessary cost inflation. NIH supports full fiduciary transparency under the Consolidated Appropriations Act (CAA), and offers flexible sourcing pathways that remain stable even as tariffs, global pricing, and PBM practices continue to shift.

  • Evaluates and manages high-cost pharmacy claims

  • Designs under-writable pharmacy strategies with programs that operate in all 50 states

  • Enables access to medications through both U.S. supply chains and highly regulated international tier-one markets4

  • Certified savings by actuaries at stop loss carriers and Managing General Underwriters all over the United States5

How It Works

National Integrative Health makes it easy to start saving.

Establish a managed services agreement with NIH as either the default fulfillment pathway, or as another pharmacy channel within your existing network. Then choose which medications to source and which sourcing channels to include: Domestic, International, Specialty or Retail.

Prescriptions are sent to NIH for fulfillment.

NIH sources the best “all-in” price from chosen channels.

Prescriptions shipped to members with no changes to therapy or drug formulation, clear communication and contact information, reliable fulfillment and delivery, clinical oversight for coordination on refills, timing, and dose management, and $0 out of pocket costs.

The Results

10-40%

Savings on pharmacy spend, even considering rebates

40-60%

 Savings on home infusion therapy programs (per infusion)6

5-10%

Stop loss carrier renewal discounts received by clients using NIH's program and plan design5

Benefitfocus Pharmacy Procurement Program

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1Mercer’s National Survey of Employer-Sponsored Health Plans. 

2Source: RxBenefits. One high‑cost specialty drug can drive plan costs of more than $250,000 for a given claimant in a single year. 

3Health Care Business Today, 2025 

4Tier 1 countries are those that regulate their pharmaceutical industry to ensure the safety and effectiveness of their drugs through the entire development, manufacturing and sales process and have a clear procedure for reporting adverse reactions and for withdrawing unsafe or ineffective drugs) 

5NIH clients using their program and plan design have received 5-10% renewal discounts from stop loss carriers. 

6Average savings reported by NIH across clients who used their service in 2025.

Benefitfocus, a Voya Financial® business, often subcontracts with independent third-party vendors and care partners and their affiliates to offer certain services. National Integrative Health, LLC. (West Des Moines, IA), is a point solution that offers alternative drug sourcing for employer sponsored Health Plans. Benefitfocus will earn a referral fee based on the percentage of pharmaceutical services purchased by any employer client that contracts directly with NIH. NIH is not affiliated with the Voya® family of companies and the employer client is free to contract with any company that offers pharmaceutical services similar to NIH. The information provided does not, and is not intended to, constitute legal advice; instead, all information and content herein is provided for general informational purposes only and may not constitute the most up-to-date legal or other information. 

The information provided does not, and is not intended to, constitute legal advice; instead, all information and content herein is provided for general informational purposes only and may not constitute the most up-to-date legal or other information. Benefitfocus does not act in a fiduciary capacity in providing products or services; any such fiduciary capacity is explicitly disclaimed.

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