Plan Design Questionnaire

Find your starting point

Every plan balances cost against coverage — there's no single right answer. Tell us where your organization wants to land, and we'll build your first formulary proposal to match, not guess at it.

About Your Organization

Company & contact info

The core tradeoff

Coverage vs. savings — where do you want to land?

Drag the slider. 1 is the leanest, lowest-cost formulary. 10 covers nearly everything. Most employers land somewhere in the middle — there's no wrong answer.

5
Balanced

Moderate coverage breadth with meaningful savings — the most common starting point.

1 — Aggressive Savings
Mandatory drugs only 10 — Aggressive Coverage
Cover nearly everything
Specific Categories

A few categories worth deciding on now

These are the coverage categories that most often swing cost or generate employee questions later. Pick what fits — nothing here is locked in.

Weight Loss & Lifestyle

GLP-1s / weight-loss medications
Sexual dysfunction medications
Cosmetic products (Rx only)

Specialty & High-Cost

Specialty pharmacy program
Hepatitis C medications
Compounded drugs

Family & Reproductive Health

Contraceptives (all forms)
Transgender & gender-affirming care

Chronic & Preventive Care

Diabetes supplies & CGMs (Dexcom, Freestyle Libre, test strips)
Adult ADHD stimulants (25+)
Allergy immunotherapy
Smoking cessation (beyond ACA minimum)

Programs & Cost Controls

Mail order program
International / cost-plus drug sourcing
Require step therapy before high-cost specialty drugs
Confirm & Sign

Acknowledgement

By typing your name below, you confirm the answers above reflect your organization's preferences to the best of your knowledge. This is a starting point for your proposal, not a binding plan document.

See what this looks like

We'll turn your answers into a first-draft formulary proposal and reach out to walk through it.

Questions instead? Call 1-866-TRUTHRX or get a quote directly.