PHARMACY BENEFIT INTELLIGENCE®

Pharmacy Benefit Consulting

PBIRx is Pharmacy Benefit Intelligence®

It is what we live and what we deliver. Our specialized people – your PBIRx teams – have expertise in all areas of pharmacy benefits, from specialty drugs to contract negotiations. Our knowledge and our technology provide best-in-class programs that minimize costs, maximize member health outcomes and provide transparent pricing. Our vast experience negotiating tailor-made deals sets us apart from the herd. By doing what we do best, you can focus on what you do best!

  • 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 & appeals

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

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