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Broker News | October 2017 | Vol. 12 No. 10A
Broker News | October 2017 | Vol. 12 No. 10A

2018 Broker Pharmacy Program

Details on the 2018 Broker Pharmacy Program* are now available. Details include, commission amounts, information on retention measurements and more, pending DFS approval.
 

The following pharmacy claim-based business (CBB) commission structure** is for “new” business acquired in 2018

  • Broker agencies appointed with Excellus Health Plan, Inc. will be eligible for commission of $1.00 per script effective January 1, 2018 for any new pharmacy CBB placed with Excellus Health Plan, Inc. on or after January 1, 2018.
  • An additional $.10 per script will be paid if the broker agency maintains a 95% pharmacy retention rate on their CBB pharmacy book of business. Book of business retention measurement will be calculated on a calendar year basis for each year following the initial qualification year for the commission payment. Broker agencies would need to requalify for this additional payment annually.
  • “New” business will continue to be paid at new business rate each subsequent year as long as it remains with broker

Please contact your account consultant with questions.

* Broker agency must maintain a 95% pharmacy contract retention rate on their CBB pharmacy book of business

**Pending NYS DFS approval

 

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