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.
 

Improve Pharmacy Claims Management Processes and Control Costs

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

Leverage smart analytics to gain insight on your unique plan and contract base. Identify trends and opportunities to improve the cost effectiveness of your pharmacy programs.

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

Collaborate with our experienced team to continuously improve your pharmacy benefits administration processes. We offer support that goes well beyond just our systems and platforms.

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

Contain prescription costs for your plan by accessing our wide variety of services and support to keep you on the leading edge of pharmacy administration.

Adjudicate Pharmacy Claims, Manage Benefits

Smart analytics

  • As each of our customers is unique, we steer clear of “one size fits all” recommendations. 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 associated 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 over 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 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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