We support Physicians in providing great cost effective clinical care not serve as an obstacle course for Physicians and members to navigate.

CLINICAL CARE PROGRAMS

Providing great clinical care requires a team of health professionals with skills specific to the patients needs. A PBM’s role is to provide the team of health professionals treating the patient and the patient with the information, tools and resources necessary to get the patient the care they need as quickly, efficiently and cost effectively as possible.

PROGRAMS INCLUDE:

  • Clinical Initiatives Focused on Health
  • Custom Clinical Rules Based on Your Doctors and Employees Need
  • Real Time Clinical Prior Authorizations with MD Second Opinion Options
  • Clinical Appeals Management
  • Physician and Member Profiling
  • Utilization Review
  • Therapeutic Substitution Program
  • Chronic Use Program
  • Disease/Health State Management Program

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