The industry's most comprehensive scope of services coupled with a host of unique program features that are simply not available anywhere else.
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PNPS offers a full spectrum of user-friendly, consumer-centric pharmacy benefit program features and services that facilitate customization at all levels and comprehensive cost, utilization and quality-of-care monitoring.
The following are just a few of the many areas of our focus:
Objective Benefit Design and Cost Management Consulting – benefit design analysis and consulting; comparative benefit and financial modeling; formulary development;
Pharmacy Claims Processing Services – real-time processing of all Rx claims utilizing a proven, flexible claims engine that supports complex benefit designs, multiple networks, and multiple formularies; able to be accessed from any location, real-time, via the web;
Cost and Utilization Management Services – sophisticated, automated technology able to detect potential drug conflicts and interactions before prescriptions are filled; supports prior authorization and step therapy programs;
Network Management Services – 54,000 retail pharmacies, multiple mail-order facilities and several specialty drug pharmacies all offering acquisition cost pricing; preferred and discount network customization available; regular desk and on-site auditing;
Direct Pharmaceutical Manufacturer Contracting – direct, one-of-a-kind manufacturer contracts; unprecedented access to rebate contracts; transparent monthly accounting;
Innovative Specialty Pharmacy Program – access to high quality specialty pharmacy facilities; true acquisition cost pricing; the nation’s only specialty Rx rebate program;
Pharmacy, Physician and Patient Call Center – staffed with highly-trained personnel (including pharmacists) with access to real-time pharmacy, plan, and patient data;
Web-Based Rx Portal – a complete suite of advanced online tools including personal prescription history, Rx cost and compare, interaction and therapeutic alternatives for patients; tools that enable employers to monitor and manage their Rx benefit programs;
Reporting Tools – web-based access to information and performance data that removes the mystery surrounding Rx costs, prices, discounts, rebates, contract terms, etc.;
Independent Pharmacy & Therapeutics Committee – acts in the sole interest of Plan Participants and no one else; provides full support and management of clinical initiatives including outbound education programs for patients, physicians and pharmacists;
Independent Auditing – the industry’s most advanced real-time and retrospective forensic Rx claims audits performed by the nation’s leading auditor; satisfies all ERISA fiduciary requirements for pharmacy benefit program management oversight;
Honest Plan Sponsor Contracting – quite simply, the most honest, straight-forward and truthful pharmacy benefits expense management contract in the industry – period.
As evidenced above, PNPS has the resources, capabilities, creativity and ethical compass with which to compete successfully with both the industry giants and new PBM hybrids.
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