Member Affordability Solutions

Cost support that keeps therapy within reach

As out-of-pocket costs continue to rise, affordability support has become a critical part of pharmacy strategy. Expion Health® helps organizations connect cost support opportunities to broader goals around access, adherence, and prescription value.

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The Opportunity

Turn affordability into an access advantage

Affordability support should do more than lower a member’s cost at one moment in time. It should help them start therapy sooner, stay connected to treatment and reduce friction across the pharmacy experience.

Member Affordability Solutions bring specialty, retail, medical and point-of-sale rebate opportunities into one approach, so affordability drives prescription value, not just cost support.

Strategic Affordability

Balance member cost support with payer strategy

Member affordability works best when cost support is part of the broader pharmacy benefit, not separated from it. Expion ties cost support to access, adherence and prescription value, not just the moment of dispensing.

More Than a Copay Program

Affordability strategy is positioned around access, adherence and benefit performance, not just a narrow savings mechanism.

Flexible Across Benefit Channels

Affordability opportunities can be addressed across specialty, retail, medical benefit and Net Now rebate pathways without forcing every situation into one model.

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Built for High-Cost Therapy Pressure

Support is designed for the medications and benefit situations where out-of-pocket burden can meaningfully affect whether members start or stay on therapy.

Payer Strategy Forward

Member cost support stays tied to the broader pharmacy benefit, so affordability is treated as part of prescription value, not a disconnected side program.

Affordability Solutions

Cost support built into the benefit

Expion helps organizations evaluate and integrate member affordability solutions seamlessly while keeping clinical care, member experience, pharmacy performance, and long-term strategy connected.

Specialty Affordability

Support for high-cost and specialty medications where affordability gaps create the greatest risk.

Retail Cost Support

Support for eligible retail prescriptions for member costs at the pharmacy counter.

Net Now Rebates

Point-of-sale rebate value modeled and applied selectively where it can support member affordability.

Medical Benefit

Affordability support for eligible medical benefit therapies, including injected, infused and provider-administered drugs.

Part of ExpionIQ’s Modular Solutions

Keep every affordability move tied to the full Rx equation

Affordability support creates more value when it stays connected to the strategy around it.

Our modular approach connects member cost support with formulary strategy, access pathways and ExpionIQ® intelligence so affordability does not become a disconnected side program.

Next-Gen Access Solutions

Create more flexible pathways to appropriate therapy access as alternative sourcing channels, manufacturer programs and member expectations reshape how prescriptions get filled.

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Total Value Formularies

Build formulary strategies around the full value equation, including cost, clinical alignment, access, rebates and long-term performance.

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The intelligence behind every modular move

ExpionIQ® powers the data, intelligence and activation behind Next-Gen Access Solutions, helping teams identify where emerging access pathways create value, support targeted engagement and keep every claim visible, no matter where it's filled.

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Results

When teams take back control, the numbers change

Here's what happens when organizations partner with Expion to uncover savings, sharpen strategy, and act earlier on opportunities hidden inside their own pharmacy data.

$8M+