We take the complicated out of PBM management through a variety of customized approaches including:
Contract Review and PBM Procurement for Organizations
- Requests for PBM proposal and contract negotiations
- Objective comparisons of incoming proposals from vendors that determine the overall value of each proposal through the identification of key elements:
- Client/Customer Service
- Plan Design and allows for customization of Plan design
- Clinical Programs and offerings
- Analysis of your current prescription benefit plan to determine and how it can be improved. Our evaluation will give a clear picture of where your costs are and what your savings can be through our services.
Pharmacy Benefit Plan design
- Development of your new, customized plan based on our comprehensive analysis.
- Oversight of the entire formulary and expert recommendations advice on additions and/or deletions to the formulary based on the market conditions
Cost Management and Ongoing Services
- Utilization management
- Claim history auditing that provides cost management for your company.
- Utilization tracking throughout the year.
- Pharmacy Clinical Consultation Services
- Day to day pharmacy management consultation, clinical authorizations and prior authorization design, and true disease management
- Optimizing the use of onsite medical clinics and onsite pharmacies
- Custom-designed solutions that are game changers for large group employers.
- Options on health group consolidation to drive down health costs for multiple plans
Pricing transparency. Exceptional customer service. Flexible and customized.