Providing actionable intelligence in the pharmacy benefit industry with individualized consulting & auditing services.
PBIRx is an independent pharmacy benefits advisor
Your current prescription contract and utilization is analyzed to identify plan deficiencies, hidden fees, and savings opportunities. PBIRx presents various strategies that align with your specific needs and your culture. We negotiate contracts which deliver enhanced pharmacy benefits, measurably lower costs and better health outcomes for plan members.
PBIRx is data-driven, but our technology and algorithms are only the beginning. It’s our specialized people – available to you at all times – who put the data to work for you. We believe you should benefit from pharmacy benefits savings, not the pharmacy benefit managers.
Fully integrated PBM & discount networks claim adjudication solution for plan sponsors & members.
Rebate aggregation services for health plans, long term care, hospital systems, PBMs, TPAs, workers comp & discount card providers.
Client & member savings with our partner alliances for voluntary brand-only medications from outside the USA.
AuditRx, our proprietary audit platform, empowers our experienced staff of actuaries & analysts to negotiate financial recoveries for our clients.
With PBIRx’s vast experience & clinical expertise, we have spent years vetting & analyzing best in class solutions for specialty drug alternate funding.
PBIRx performs independent third party 340B compliance audits, providing an actionable evaluation report to prepare a covered entity for an actual HRSA audit.