Clinical Support

We know that top-notch customer service in PBM healthcare is the key to ensuring your clients’ happiness — and your business’ long-term success. PharmaPlus’ prescription benefit management system is designed to achieve several objectives, including reducing costs for drugs and clinical services for your customers nationwide. This wide array of initiatives allows you to offer clients the most cost-effective products and services.

Our clinical support features include:

  • Promotion of cost-effective medications by combining safety, efficiency, and performance
  • Drug Utilization Review (DUR)
  • Tiered formularies for cost-effective utilization
  • Prior authorization of high-cost specialty medications
  • Step therapy and quantity limits
  • Therapeutic interchange
  • Generic drug initiatives
  • Advanced pricing support including:
    • Support for building MAC lists for networks and clients
    • Easily attachable network and client pricing schedules for quick reference
    • Integrated information on industry drug prices and types
    • Support for price schedule changes, with plans to help implement effective rollout dates

Features

Pharmacy Claims Processing

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Pharmacy Benefits Configuration

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Network of Pharmacies

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Administration & Maintenance

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