Health Cost Guidelines - Prescription drug rating


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Determine claim costs for a wide variety of prescription drug benefit plans for either commercial populations or ages 65 and over with the Prescription Drug Rating Manual.

The rating manual allows you to:

  • Quickly rate a multitude of benefit plan options by selecting rating variable inputs in the Prescription Drug Rating Model, an automated rating tool.
  • Estimate the cost of including some form of prescription drug coverage for Medicare-eligible beneficiaries with a separate Ages 65 and Over rating section.
  • Estimate a wide variety of benefit design and pharmacy cost management programs with claim probability, per prescription, and drug therapy class cost distributions.

The Prescription Drug Rating Manual includes:

  • Commercial Rating
  • Ages 65 and Over Rating
  • Cost Per Prescription Tables
  • Claim Probability Distributions
  • Drug Therapy Class Cost Distributions
  • RXRM Rating Model

Download the brochure »

The products we sell are the tools we use

As the premier health management consulting firm, the Health Cost Guidelines are used daily by our own in-house actuarial consultants for insight into the key drivers of healthcare costs and utilization.

The Health Cost Guidelines Suite includes the following products:

Contact your Milliman consultant or the Health Cost Guidelines Manager at HCGManager@Milliman.com if you are interested in licensing any of these products.