Pharmacy Focus - Product & Services

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:

Custom Pharmacy Surveys - Attestations/Data Collection
Maximum Allowable Cost (MAC) Price List Transparency
Pharmacy Network Solicitations and Notifications
Electronic Funds Transfer (EFT) Enrollment
Content for Pharmacies

Custom Pharmacy Surveys - Attestations/Data Collection

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.

Customized to your client requests, built out to collect any information required and leverage existing pharmacy data resources
Secure or open; access can be driven by NCPDP profile and administrative user accounts
Standardized survey and attestation platform that is easy to use and familiar to pharmacies
Robust reporting, including surveyed data and pharmacy demographics

Use Case #1: California Health & Safety Code section 1367.27(l)

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independent pharmacies and 3,724 chain pharmacies to complete an attestation and update NCPDP pharmacy profiles (if out of date). 96% completed attestation and NCPDP updates within 60 days of the first communication to pharmacies.

Introductory information for the pharmacy, consistent with communications (email, fax) used to drive the pharmacy to the online attestation.

Enter the pharmacy's NCPDP number and a CAPTCHA code.

Enter the pharmacy's FEIN number to validate identity.

Review directory information, as represented in the NCPDP pharmacy profile. Attest to the accuracy of the information, or indicate information will be updated in the NCPDP pharmacy profile.

Use Case #2: ADA+ Attestation to process Managed Medicaid pharmacy claims in the state of New York.

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.

Enter the pharmacy's NCPDP number and a CAPTCHA code.

The pharmacy is alerted if it has already completed the ADA+ attestation.

Confirm pharmacy identity for attestation.

Complete all questions in the survey.

Questions are required or not required based on answers to previous questions.

Once all questions are completed, an attestation signature is required.

Maximum Allowable Cost (MAC) Price List Transparency

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.

Meet state MAC transparency requirements, while eliminating email/call center requests for current MAC prices
Support multiple MAC lists and separate permissions for which pharmacies can or cannot access a specific MAC list
Securely share current MAC prices and limit the pharmacy's ability to download an entire MAC list
No need to manage user accounts; secure access provided via NCPDP pharmacy profile user credentials
Automated updates to all MAC lists from secure data feed; support daily and weekly updates

Use Case: Provide pharmacies secure access to current MAC prices.

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.

Secure login and CAPTCHA code required prior to accessing MAC price lists.

Pharmacy can select from multiple MAC price lists, as determined by the PBM's business rules + permissions.

Pharmacy can search on a drug code, brand or generic drug name. The latest MAC prices are displayed, but protections are in place so pharmacies cannot download the entire MAC price list.

Pharmacy Network Solicitations and Notifications

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.

Unique, customized and integrated solution that combines Laserfiche's document management and Esker's document delivery solutions
Far more cost effective than traditional document management and delivery systems
Unparalleled support and deep pharmacy domain expertise

Electronic Funds Transfer (EFT) Enrollment

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.

Only EFT on-boarding solution integrated with NCPDP pharmacy profile user credentials to validate pharmacy ownership or administration
Automated enrollment process, integrated with your network management and financial systems

Content for Pharmacies

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.

Targeted pharmacy communications by geographic region, pharmacy type, contractual affiliation or even individual pharmacies by NCPDP number
Integrated with other online pharmacy tools, driving pharmacy traffic to your communications

Wholesaler

PharmacyFocus specializes in providing item management and communication solutions to pharmaceutical wholesalers. With more than 15 years of experience supporting pharmaceutical wholesalers, the PharmacyFocus team’s domain expertise and industry relationships can be leveraged to find or build a solution within an already existing system, or create a unique platform customized to the wholesaler’s specific requirements.

Our unique, custom platforms incorporate item management, pharmacy communications and content management, as well as dedicated online/offline wholesaler, manufacturer and pharmacy support.

Eliminates the use of paper
Significantly decreases margin for error
Improves time and workload efficiencies
Creates transparency for both, manufacturer and wholesaler
Supports robust tradeshow and catalog integration

A secure, single sign-on and comprehensive online workflow, including item set up between manufacturer/broker and the wholesaler procurement team.

Use Case #1: Two of Top Three U.S. Wholesaler’s Need for Item Management Portal:

Background: Requirement for a transparent, easy workflow system for OTC item management. The system needed to benefit/support the wholesaler, manufacturer, and pharmacy as a whole. The portal built allowed item set up by the manufacturer, approval and management by the wholesaler, and accessibility to the active item for the pharmacy.

Success Rate: There are a total of 72,567 items created by manufacturers/brokers on the site. The item management portal is utilized by 696 manufacturers, and 53 brokers. For over 11 years the portal has been used as a catalog tool for items included in tradeshows. This gives 34,984 nationwide pharmacies visibility into the tradeshow catalogs.

Key Features

Item creation and information upload
Complete workflow for item set up and maintenance
Tradeshow and catalog integration provide pharmacy customers easy access to item information and promotions

Utilize a secure communications and content portal built for the entire pharmaceutical industry, customized to wholesaler requirements
Target content by type of pharmacy, location of pharmacy, program participation or custom list of specific pharmacies
Integrate content with other online wholesaler tools to drive pharmacy traffic

Use Case #2: Two of Top Three U.S. Wholesalers Need for Communication Platform:

Background: Wholesalers had a need for communication platform to nationwide pharmacies. The platform needed to include access to message creation from manufacturers, wholesalers, and wholesaler programs.

Success Rate: Communications posted to the portal on a daily basis, reaching 34,984 pharmacies. Communications include messages and downloadable files (such as PBM’s). Message creators include wholesaler, wholesaler groups, and manufacturers. The site also includes dedicated pages to wholesaler groups, allowing for easier access/navigation to program specific information for pharmacies. Over 108 manufacturers have utilized the platform to communicate directly to pharmacies.