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Health system case study

How a health system reduced costs and increased revenue in one year
Industry Insight
Nov 04, 2026

Case study:

Discover how customized network and lowest net cost strategies can help health systems save money and increase revenue.

Background

A regional health system was frustrated with its prescription benefit. Costs were climbing at an unsustainable rate. Its previous PBM was slow to respond to plan- customization requests and unwilling to collaborate on directing members toward system-owned (domestic) pharmacies. So they switched to Scripius.

Scripius savings graphic

Approach

  • Customized plan design with lower copays at system pharmacies and specialty fills routed to the system specialty pharmacy.
  • Built a lowest-net-cost formulary by prioritizing preferred biosimilars: Amjevita and Hadlima for Humira, and Selarsdi and Pyzchiva for Stelara.
  • Guided GLP-1 utilization toward higher-value therapies to manage diabetes trend.

Result

The system lowered net drug spending and designed benefits around its own pharmacies and specialty pharmacy.

Graphic text highlights $637,785 in net savings from biosimilar adoption. The message is presented in bold white type on a vibrant gradient background transitioning from pink to purple. The design is minimal and focused on the financial impact figure, with a small superscript 1 after the word adoption. Overall, the image emphasizes healthcare cost savings and economic benefits of biosimilar use.
Digital graphic highlighting a 17.2% decrease in GLP-1 spend. The text is set in bold white type against a vibrant gradient background transitioning from purple to pink. A small superscript 1 appears after the word spend, suggesting a referenced note or source. The overall design is clean and modern, emphasizing the numerical reduction message.
Digital graphic featuring the text "$10.37 lower net PMPM" in bold white type. The phrase "year over year¹" appears below, indicating an annual comparison footnote. The design uses a smooth purple gradient background with a clean, modern typographic style. Overall, the image communicates a specific financial performance metric in a simple, data-focused layout.

Discover how customized network and lowest net cost strategies can help health systems save money and increase revenue.

Visit: scripius.org | Email: maketheswitch@scripius.org

Sources:

  1. Internal Scripius data
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