PharmacyFocus is the largest digital communication platform for the pharmacy channel. Through a broad range of tools and services, PharmacyFocus works with PBMs to collect client specific pharmacy data, communicate plan updates/notifications to members and deliver enhanced technology services through multiple offerings:
PharmacyFocus collects data from pharmacies through customized online surveys and attestations that can be built quickly and accessible to targeted pharmacies in 14 days or less. Pharmacy surveys and attestations can be integrated with their NCPDP pharmacy profiles to display real-time data on file that needs to be validated, along with new data to be collected.
Background: Health plans and insurers are required to send out an annual notification to pharmacies for verification of the information contained in the plan’s pharmacy directory. PharmacyFocus provides an online attestation to confirm pharmacy directory information directly with the pharmacy.
Success Rate: PBM needed 2,321 independent pharmacies and 3,724 chain pharmacies to complete an attestation and update NCPDP pharmacy profiles (if out of date). 96% completed attestation and NCPDP updates within 60 days of the first communication to pharmacies.
Background: Pharmacy Benefit Managers (PBMs) require pharmacies to fill out an online ADA+ attestation in order to process Managed Medicaid pharmacy claims in the state of New York. This information is required to be reported in pharmacy directories for specific New York Medicaid plans.
Success Rate: PBM needed 2,686 pharmacies to complete an attestation to update directories with an ADA+ designation. 94% completed the attestation within 45 days of the first communication to pharmacies.
Fulfill state transparency requirements and securely share your propriety MAC price lists. PharmacyFocus' secure MAC interface allows your approved pharmacies (based on network participation, geography) to access MAC prices drug by drug without providing an entire MAC price list.
Background: PBMs need to provide access to current MAC pricing, as required by various state transparency laws. PharmacyFocus automates MAC data feeds on a daily or weekly cycle with participating PBMs. Pharmacies are provided access, via secure login, to current MAC pricing that is applicable to their contract(s) with the selected PBM. In addition, PBMs can maintain multiple MAC price lists and define specific business rules + permissions for each MAC price list.
PharmacyFocus has established a robust document management platform to support pharmacy network solicitations and notifications. Send online, email, fax and traditional mail to any or all of the pharmacies in your network. All communications and pharmacy responses are archived in a document management system for easy access as required.
PharmacyFocus securely on-boards pharmacies to EFT programs and services. EFT enrollment through PharmacyFocus.com establishes a secure way to validate users, enroll and submit banking information, and validate challenge deposits to ensure correct bank account information prior to activating ongoing EFT payments.
PharmacyFocus' messaging platform provides a way share digital content to the entire pharmacy channel (big retail chains, small retail chains, independents, specialty and hospitals). The messaging platform is a cost effective way to inform pharmacies of plan announcements, plan changes or any other information you are required to provide pharmacies.