Building a Top Pharmacy Benefit Management Program for Injured Workers Requires Expertise, Data, and Committed Partners

Since its inception, the Connecticut Interlocal Risk Management Agency (CIRMA) has taken on the unique challenges that municipalities face when caring for injured workers. As part of their solution, CIRMA turned to Coventry’s Pharmacy Benefit Management (PBM) program, First Script. Learn more about how CIRMA and Coventry partnered to produce positive outcomes for its members. 

Early on, CIRMA emerged as a pioneer by building cutting-edge programs to meet the financial and risk-management needs of its members. These efforts ranged from services tailored for municipal operations to programs that helped prevent accidents and managed injuries through effective pre-loss initiatives and claims management.

CIRMA’s appetite for innovation has continued through successful efforts to curtail prescription costs, opioid use and the proliferation of compound drugs. Today, as always, CIRMA’s goal is to provide the highest level of support and services for its members and their injured workers. In doing so, CIRMA enables its members to build better, safer communities in which to live, learn, and work.

CIRMA’s success in recent years relating to drug costs, opioids and compounds can be attributed to its steadfast attention to the obstacles confronting its members. To combat these challenges, CIRMA turned to Coventry’s Pharmacy Benefit Management (PBM) program, First Script. CIRMA became an early adopter of a comprehensive managed care program that combined communication, education, collaboration, and data. CIRMA’s goal was to combine its focus on risk-management with comprehensive claims management through innovative data aggregation. CIRMA and Coventry share a commitment to ensuring the safety of injured workers and managing pharmacy utilization and spending.

CIRMA graphic
In 2005, before PBMs were commonplace in workers’ compensation medical management, CIRMA forged a partnership with First Script to provide traditional pharmacy-management services to Connecticut’s municipalities, school districts, and local public agencies. Since then, CIRMA’s pharmacy-management program has evolved to address new dispensing practices, medications, and regulations. The program has also progressed to recognize that all medications in some way affect the health and safety of an injured worker and the overall outcome and cost of a claim. Coventry took innovative steps to support targeted clinical interventions and cost-containment measures that helped CIRMA achieve its early goals with the First Script PBM program. The result was a more holistic approach to pharmacy management and to protecting the interests of the injured worker.

cirma graphic 2

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