Pharmacy Benefit Management

药店的亚博真人官方版APP

Our PBM is tailored for workers’ compensation and auto casualty. 100%的专注, 投资, and expertise supports these customers in contrast to other PBMs who offer commercial health programs. Our solution features clinical management, innovative and unique technology, full integration with other solutions, and incredible service to deliver optimal outcomes.

患者咨询: 866.549.1552

亚博真人官方版APP 分析 & 资源

The Power of a Complete Solution

Traditional PBMs are only able to provide clinical review on claims submitted through network pharmacies. We are the only PBM solution that provides the same clinical oversight to both in and out-of-network scripts through our patented technology.

Features and Benefits

  • Clinical oversight on all prescriptions
  • Increased savings through patented out-of-network solution
  • Holistic view of PBM, bill review, clinical, and claims system data
  • Ability to influence provider dispensing behavior through network relationships
  • Real-time smart routing to adjusters, 药剂师, and case managers to ensure the right claim is handled by the right resource at the right time
  • Risk scoring to flag high-risk, high dollar cases
  • In-depth reporting specific to your program
  • Early intervention programs
  • Actionable insight tools for decision support

Integration Provides Double Digit Savings
 

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"Having the bill review and ScriptAdvisor programs integrated significantly improves ease of use"

—VP of Claim Operations, Regional WC Carrier

客户服务
  • Dedicated Account Management
  • 24/7 Client Service Team
  • Follow Through on All Calls
  • 98% Inquiries Resolved on First Call
  • 27 Second Average Answer Time

Comprehensive Clinical 资源
  • Dedicated Client Specific Pharmacist
  • Extensive Fraud, Waste and Abuse Monitoring and Intervention
  • Custom Formulary Management
  • Automated Monitoring and Risk Scoring
  • Clinical Management and Intervention
  • Opioid Management Programs

Expansive Pharmacy Network
  • 73,000 National Retail Pharmacies
  • No Risk First Fill Program
  • Point-of-sale Controls
  • Mail Order Pharmacy
  • Extended Specialty Networks

Advanced Technology
  • Innovative Web-based Platform
  • Pre-built Bill Review, Clinical, and Claim System Integration
  • Customizable and Flexible Workflow and Controls
  • Real-Time Data 分析 & 报告
  • Accelerated and Streamlined Implementation

ScriptAdvisor Customer and Member Portal

药店的工具

药物的趋势

Find out more about the state of pharmacy trends in workers' comp for both in- and out-of-network prescriptions in our annual four-part series.

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Ask The Pharmacist

Our clinical team is ready to answer your pressing questions about specific claims and offer clinical expertise to help you make decisions regarding drug-related issues.

 

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药房101年

Workers' compensation pharmacy benefit management can be complex, especially when understanding key terms.

 

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Enlytening Conversations

Hear what two of our PharmDs have to say about pressing pharmacy industry issues for workers’ comp payers.

听现在

药店的见解

There is always something to talk about when it comes to workers’ comp and auto pharmacy. To learn more, visit our pharmacy insights page.

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现在浏览下一步

Our extensive pharmacy program delivers the industry's most comprehensive PBM solution so that you, 你的团队, and your program can navigate what's next with success. Contact us to find out what's next for you. For patient inquiries, please call 866.549.1552.