The Details.

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
    • Pricing
Savings Analysis
  • 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.
Formulary management
  • 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.

That’s PBM Solutions.