Solutions & Services
Pharmacy Relationship Management (PRM) Platform - Enterprise Applications for PSAO's and PBM's
Solve some of the toughest challenges managing a national pharmacy network
- Adhere to compliance rules and regulations that are constantly changing (client specific, state specific)
- Process high volume of ownership and PSAO relationship changes, stressing contracting and enrollment processes
- Balance client pricing and pharmacy reimbursement
- Integrate disparate technology applications and data sources that struggle to adequately serve business operational needs
Industry adopted Single Sign-On (SSO) integration
Pharmacy dashboard for network enrollment, credentialing and communications
Comprehensive pharmacy profile management including document management
Easy completion of pharmacy surveys and attestations
Secure Maximum Allowable Cost (MAC) price list publishing to meet transparency requirements
Pricing and Analytics Services
The PharmacyFocus team's domain expertise, industry relationships and trusted partnerships are leveraged to build and maintain unique customized platforms creating actionable pricing analytics:
- • Profitability and performance
- • Reconciliation and contract management
- • Forecasting, budgeting and negotiating
Evaluate claims paid at a loss, determine if reimbursement or sourcing issue?
Measure reimbursement across payers - AWP-based, PAC-based, markup on cost to assess profitability
Optimize MAC reimbursement, achieve specific contractual targets
