GTRx Plus
Achieve 40%+ specialty pharmacy savings with precision management for high-cost J-Code claims.
GTRx Plus
Achieve 40%+ specialty pharmacy savings with precision management for high-cost J-Code claims.
Specialty drugs billed under the medical benefit represent some of the fastest-growing and most volatile costs in healthcare. Traditional PPO networks often lack the enforcement needed to deliver promised savings. GTRx Plus closes that gap by combining clear plan language, preferred sourcing, and hands-on claim support.
What Is GTRx Plus?
GTRx Plus is a comprehensive specialty pharmacy carve-out program that establishes enforceable cost controls for select high-cost, provider-administered medications. It is built to improve pricing compliance, strengthen plan authority, and deliver consistent, measurable savings.
Core Components
Plan Document (SPD) Language
Clear, defensible language that enables mandatory preferred sourcing and reimbursement limits tied to GTRx pricing.
Defined Medication List
This program covers over 800 high-cost, high-complexity drugs focused on infusion therapies and specialty conditions. The list is continuously updated to reflect current pricing and plan design needs.
Pre-Service Intervention Point
Authorization and outreach before treatment begins, ensuring providers understand sourcing requirements and pricing expectations.
Claim and Appeal Support
Structured repricing, documentation, and appeal response processes backed by defensible plan language.
Why GTRx Plus Works
GTRx Plus combines enforcement, flexibility, and service, three elements that traditional specialty networks often lack.
Explore the GTRx Plus Drug List
Enforceable Savings
Claims are repriced to GTRx preferred vendor rates, not inflated PPO network rates.
Tailored Carve-Out Design
Plans can implement a broad or narrow drug list, depending on goals, risk tolerance, and population needs.
Proven Results
100% price implementation success rate on applicable claims, with projected savings of 40% or more on specialty pharmacy medical spend.
White-Glove Support
Dedicated contracting, clinical coordination, and claims expertise guide each case from pre-service through payment.
A Smarter Way to Manage Specialty Spend
GTRx Plus represents a significant step forward in specialty pharmacy cost management.
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Enforceable preferred sourcing
Integrated site-of-care strategies
Dedicated contracting and clinical support
Measurable, repeatable savings
For employers and plan sponsors seeking clarity and control over high-cost specialty drugs, GTRx Plus delivers a sustainable solution.
Take Control of Specialty Pharmacy Costs
Discover how GTRx Plus can help your plan achieve 40%+ savings on specialty pharmacy medical spend.
Talk to a Specialty Cost ExpertGolden Triangle Specialty Network is the golden standard in specialty Rx cost management, helping plans regain control of high-cost care while protecting access for members.