PHARMACY BENEFIT INTELLIGENCE®

Pharmacy Benefit Consulting

PBIRx is Pharmacy Benefit Intelligence®


It’s more than our name. It’s how we work every day. Your PBIRx team brings deep expertise across the full pharmacy benefit landscape, from specialty drugs to contract negotiations.

Pairing that knowledge with our technology, we build programs that lower costs, improve member health outcomes, and keep pricing transparent. Our track record of negotiating tailored agreements for each client is what sets us apart. 

But our value deepens after the contract is signed.

Negotiating a strong deal is only the beginning. Once it’s in place, we stay engaged to make sure it delivers, with ongoing support that includes:

  • PBM contract management – negotiate & audit financial terms & service-related performance guarantees

  • Utilize actual claims data to make savings recommendations

  • Customized monthly reporting including clinical analysis & identification of new savings opportunities

  • Clinical programs utilizing proprietary PBIRx algorithms to provide client savings vs PBM profit

  • Clinical Technology Intelligence (CTIRx®) - overseeing our clients’ monthly data using clinical management to identify outliers

  • Vet & facilitate implementation of new programs & vendors. Retrospective analysis to quantify savings

  • Allocation rates for budgeting

  • Dedicated clinical staff available 24/7 to address member issues

We handle the complexity of pharmacy benefits so you can focus on what you do best.

Contact PBIRx to see how we can customize & optimize your savings.

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