Pharmacy Benefit Managers
Technology and operations to drive growth for your PBM program. Comprehensive suite of tools and services help you deliver a cost-effective solution focused on clinical results and member experience.
Grounded in 30 years as a healthcare technology leader with exceptional expertise in claims processing, we offer the modern and integrated solutions your clients demand, in a channel-agnostic, transparent business model supporting all lines of business.
Apply modern technology to medical and pharmacy claims processing, utilize data and analytics, and simplify the customer and member experience.
Specialty Drug Solution
Specialty solution helps manage the complicated and pivotal segment of your drug spend while maintaining access to care your members need.
Pharmacy Network Solutions
See how identifying and delivering the network strategy best suited for your members will help deliver optimal access to care in a cost-effective manner.
Effectively Manage Your PBM Program
Scalable, flexible claims processing with integrated clinical programs for pharmacy benefit managers. Centralize functions with a technology leader.
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.