COMPREHENSIVE BENEFIT MANAGEMENT

RESEARCH THE PATIENT'S PRESCRIPTION BENEFITS, IDENTIFY WHAT THE BENEFITS ARE, IF THE DRUG IS COVERED, AND OUT OF POCKET COSTS.


PRIOR AUTHORIZATION MANAGEMENT

IDENTIFY WHEN THE PHARMACY CAN PROCESS THE SPECIALTY DRUG, THEN WORK WITH THE PHYSICIAN'S OFFICE TO OBTAIN CLINICAL INFORMATION TO COMPLETE THE PRIOR AUTHORIZATION. WE THEN FACILITATE THE SUBMISSION TO THE HEALTH PLAN AND FOLLOW UP UNTIL THE PA DECISION IS MADE. 


SOURCING OF FINANCIAL AND COPAYMENT ASSISTANCE

WE PROACTIVELY RESEARCH FINANCIAL SUPPORT PROGRAMS AND FOUNDATIONS TO REDUCE COPAY AMOUNT. 


PROACTIVELY CONTACT PATIENTS FOR PRESCRIPTION REFILLS. 

PROACTIVE REFILL MANAGEMENT


SPECIALTY DRUG, DISEASE THERAPY AND EDUCATION SUPPORT

PEER-TO-PEER GUIDANCE TO PHARMACIES FOR SPECIALTY DRUG MANAGEMENT, STORAGE AND HANDLING, PATIENT TRAINING, AND OVERALL THERAPY EXPECTATIONS. 


WILL PROVIDE NEW-TO-THERAPY PATIENT MEDICATION GUIDES WHICH CAN BE SENT TO PHARMACIES AS NEEDED. 

PATIENT MEDICATION GUIDES


DE-IDENTIFIED DATA CAN BE REPORTED FOR PHARMACIES IN THE PROGRAM. 

DATA COLLECTION AND REPORTING