Local PBM OreadRx presents pharmacy‑benefit model to Coffey County commissioners

Derek Price, a pharmacist and owner of OreadRx, presented his company’s pharmacy‑benefit management services to the Coffey County Commission and staff, outlining a locally based customer‑service model and cost‑saving clinical programs.

Price said OreadRx assigns each client a single account manager and offers a U.S.‑based call center with a reported 14‑second answer time and a 97% first‑call resolution rate. He described a fee structure that charges a flat, per‑claim administrative fee and returns drug‑savings and rebates to the client. For specialty drugs, Price said the firm uses a one‑time, casework fee to identify the lowest‑net‑cost option and assigns a clinical advocate to manage transitions and patient assistance. He described a patient‑outreach process, transition fills to avoid treatment gaps, and monitoring of prior‑authorization rejections to proactively contact members within 48–72 hours.

Commissioners asked about data feeds, transition timing and potential savings. Price said accumulator files are delivered daily and eligibility updates can be daily or several times a week; typical implementation timelines are about 45 days though he has completed some in as little as three weeks. He illustrated savings by citing biosimilar conversions (for example, reducing an annual brand cost from roughly $144,000 to a biosimilar price near $12,000) and said OreadRx charges a flat fee (he cited $1,500 as an example) rather than a percentage of savings.

County staff indicated they had collected references and some commissioners said they were comfortable advancing the process; staff will pursue contractual documents and next steps if the full commission concurs at subsequent meetings.

Quote attributable to the presenter: "You will be assigned a specific account manager...that's your go to for everything pharmacy."