Core Administration Processing Technology and Services
Scalable, flexible and secure technology proven across all markets, with API-enabled access to data.
Formulary & Rebates
Strategy and operations for custom and standard formulary, utilization management and rebates available as enhanced self-service and full-service solutions to help align managed formulary and rebate program and promote the safe, rational use of drugs.
Network Design Tools & Analytics
Network contracting and negotiation, design, operations and analytics to assess network performance and identify improvement opportunities.
Clinical Programs
Real-time benefit, prior authorization and medication adherence are some of the tools we offer integrating pharmacy claims data analysis to help engage members, improve outcomes and reduce costs.
Specialty Programs
Flexible specialty network options enable personalized care from nationally accredited specialty pharmacy partners to members relying on their specific expertise.
Call Center Services
A personal connection to members or providers with resources knowledgeable about plan.
Fraud, Waste & Abuse (FWA)
Digital strategies and tools to detect and prevent provider, pharmacy, and member fraud, waste and abuse.
