Smart Commercial Pharmacy Services™

Flexible pharmacy claims processing software and efficient retail network management services for employers and third-party administrators that want to support improved processes while controlling drug costs.


6features to help improve pharmacy claims management processes and control costs

Gain flexibility and efficiency

Access an easy-to-use, Windows-based system that supportscomplex benefit designs, multiple distribution channel networks, and client-owned network contracts.

Adapt to your unique workflows

Customize our program’s interface to match workflows, staff preferences, and changing needs over time.

Adjudicate pharmacy claims swiftly

Our platform is designed to manage claims and transactions in real time, within seconds.

Gain insight on your unique plan and contract base

Leverage smart analytics andidentify trends and opportunities tohelpimprove the cost effectiveness of your pharmacy programs.

Improve your pharmacy benefits administration processes

Collaborate with our experienced team with support that goes well beyond just our systems and platforms.

Contain prescription costs for your plan

Access our wide variety of services and support options to keep you on the leading edge of pharmacy administration.

What's Included

  • Smart analytics

    • We provide customized solutions that address your structure and the specific composition of your contract base.
    • Using our sophisticated data analytics platform, you can identify patient and utilization trends and other opportunities to improve your plan’s cost-effectiveness and efficiency.
    • Comprehensive, on-demand reporting is an integral part of our smart analytics, enabling continuous performance measurement to help you drive further plan improvements and cost containment.
  • Strategic collaboration

    • Change Healthcare has been assisting clients with their pharmacy benefits administration needs for more than 30 years, making us one of the most experienced companies in this area.
    • We provide thorough training and ongoing systems support, leveraging our expertise to help improve our customers’ pharmacy claims adjudication and overall pharmacy cost position.
    • We support our customers by maintaining member eligibility data, retail network information, formularies, and other data that can be exchanged in predetermined formats and frequencies.
  • Client-customized programs

    • Our proprietary systems are feature-rich and highly configurable and can support your programs as necessary. We have long-term experience managing pharmacy solutions for a range of clients with various needs.
    • Change Healthcare’s client roster includes pharmacy benefit managers (PBMs), third party administrators, managed care plans, discount Rx drug card providers, manufacturer coupon and voucher programs, and workers’ compensation programs.
    • Administrative and technical support is available for pharmacy and customer service call centers, along with pharmacy network, distribution channel administration, and formulary-rebate management.

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