Clinical Pharmacy Services

To make sound clinical and financial decisions for your members’ care, Medicaid agencies and health insurers need critical analysis and pharmacy intelligence, layered with clinical and operational excellence. You may struggle with trying to ensure optimal care and treatment as you balance escalating drug costs.

At the same time, in the pharmacy benefit industry, there has been limited transparency between state agencies and insurers, and their pharmacy benefit management vendors.

Our highly experienced, multidisciplinary team—including pharmacists, pharmacy technicians, physician advisors, and data and research professionals—understands today’s fast-changing health care environment. We offer innovative options to help you achieve the highest-quality patient outcomes while ensuring the cost-effectiveness of your pharmacy benefit programs, even as expenses rise and budgets tighten.

1. 1

   We are an independent partner—not incentivized by rebate or price volume—providing clinical and operational expertise to enhance your decision-making and overall performance.

2. 2

   With stringent clinical guideline criteria, our prior authorization review for specialty drugs yields a $5 return for every dollar spent.

3. 3

   Our formulary management, prior authorization, and step therapy initiatives help Medicaid programs avoid millions of dollars in costs.