Pharmacy Benefit Management
A flexible, scalable, independent program built on innovative technology and exceptional pharmacy expertise to enhance member experience and optimize clinical, financial and operational outcomes.
Formulary Management as the Foundation to Manage Rising Drug Spend
Unlock value through a formulary strategy that prioritizes the right medication for the right member and allows stakeholders to act on information.
SS&C Health Pharmacy Solutions
Comprehensive pharmacy benefit management offerings help plans realize value in pharmacy benefits, improve clinical outcomes and reduce costs and risks.
Real-Time Benefit: Validating Outcomes and Savings for Health Plans, Providers, and Patients
How to enable transparency and streamlined workflows at the point of care; improve member and provider experiences using real-time benefit.
Pharmacy Benefit Management From a Healthcare Technology Leader
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 your 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 you to provide personalized care from nationally accredited specialty pharmacy partners to members relying on their specific expertise.
Call Center Services A personal connection to your members or providers with resources knowledgeable about your plan.
Fraud, Waste & Abuse (FWA) Digital strategies and tools to detect and prevent provider, pharmacy, and member fraud, waste and abuse.