Our Solutions

Medicine Prescription
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Save on Rx Spend

Save money on your employee's prescription drug spend.

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340B

340B optimization and audit program with an emphasis on compliance.

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Rebates

Keep the rebates you are entitled to.

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A New Class Trade

 

 

PharmVantage’s Pharmacy Services Administration (PSA) program offers innovative solutions for cost-efficient pharmaceutical services that maximize benefits for payors, providers and patients. Our ideas push the boundaries of current practices in managing healthcare costs. For example, unlike PBMs, the PharmVantage acquisition cost-based PSA solution provides payors with the assurance that what is billed to them is what was paid to the pharmacy. Our dedicated team of professionals helps our clients improve efficiencies, lower costs, and improve the overall quality of care. Unlike a traditional Pharmacy Benefit Manager (PBM), PharmVantage enables our clients to manage their own pharmacy benefit program by eliminating hidden offering an a la carte menu of services and programs from which to choose:

Pharmacy Services Administration

Unlike a traditional Pharmacy Benefit Manager (PBM), PharmVantage enables our clients to manage their own pharmacy benefit program by eliminating hidden spreads and offering an a la carte menu of services and programs from which to choose.

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Pharmaceutical Contracts and Rebates

PharmVantage offers a robust portfolio of Commercial, Managed Medicaid and Medicare pharmaceutical discounts and rebates. Our integrity to both clients and the pharmaceutical industry along with our, proprietary and flexible rebate processing engine, Robo-Rebate℠ allows payors, providers and vendors to view discounts from various perspectives,

validate and monitor pharmacy claims, and minimize the need for costly audits.

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Clinical Programs and Formulary Support & Guidance

We offer the necessary tools and supporting infrastructure to empower our clients to develop their own formularies and guidelines. For those who prefer help with a custom formulary, our experts can accommodate any request.

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Comprehensive Medication Management (CMM)

PharmVantage’s CMM solution is a proprietary system with the ability to use pharmacy and medical claims data to identify high risk members and alert health plan coordinators of opportunities to improve care. PharmVantage offers processes that are tailored to each client to achieve plan-specific goals and address regulatory compliance.

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Specialty

At PharmVantage, our solutions address a wide scope of injectables including the appropriate use of specialty,

chemotherapy, blood products, office-based injections, home infusion and hospital. PharmVantage advocates an integrated approach to healthcare management, and our portfolio of PSA services will enable you to more fully address the injectable challenge.

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Acquisition Cost-Based Pharmacy Provider Network

Unlike traditional PBMs, our PSA program offers payors the ACTUAL NET COST of brand and generic pharmaceutical products, after discounts, rebates and other incentives. Our ACI-based PSA solution provides payors with the assurance that what is billed to them is what was paid to the pharmacy.

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Pharmacy Benefit Design

We provide insight and options to help guide the development of an efficient and effective pharmacy benefit program with

the right alternatives for your membership.

Claims Processing

We provide pharmacy claims processing alongside a robust retail pharmacy network from a menu of selected providers.

340B

Our 340B program, is a “Covered Entity-Centric” solution that ensures awareness and compliance of ever-changing 340B regulations for our clients.

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