PHARMACY BENEFIT INTELLIGENCE®

Specialty Drug Alternate Funding

PBIRx specializes in specialty drug alternate funding

After years of vetting best-in-class solutions for specialty drug alternate funding, PBIRx developed a proprietary granular analysis based on member-specific claims data resulting in true accurate savings, versus inflated numbers.

  • PBM & third-party alternate funding companies’ product offerings

    • Patient assistance programs/manufacturer coupon programs
    • Provide a complete financial analysis of potential plan savings from full & partial funding on specialty drugs including rebate loss & third-party fees
    • Evaluate program requirements including changes to plan documents, financial qualification requirements of participating members, implementation timeline & member communication materials
    • Provide detailed & unmatched reporting incorporating all funding claims data
    • Stop-loss considerations

  • Single case, unique high-cost drug alternate source funding

    • Assist plan sponsors with alternate sources to secure funding for high-cost drugs
    • International Rx pharmacy options & 340B contact pharmacy options
    • Stop-loss & plan document assistance

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

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