Contract Negotiations

Health Plans

An increase in pharmacy costs can have a negative impact across your entire organization. Trying to prevent these rising, unforeseen costs are challenging. PillarRx finds, assesses and provides recommendations for eliminating wasteful pharmacy benefit costs.

How? We look at your current PBM contract – is your PBM performing up to performance guarantees? Are you maximizing cost-sharing/saving opportunities? Are you maintaining CMS standards?

Services

  • Financial review

  • Pharmacy Benefit Manager (PBM) oversight

  • Manufacturer rebate

  • Plan design

  • RFP and contract negotiation

  • Formulary oversight

  • Specialty product management

  • Specialty copay assistance program

References

“I had worked with IPC Evergreen for a year during which time they helped us, among other things, to design an effective and complete PBM oversight program. I was very pleased with the quality of their work and their expertise in the Pharmacy compliance area was invaluable. They were always available for a call and happy to come on site whenever we requested it. I am very happy to recommend them to others.”

“Our team relies on PillarRx to make us better! While we had seen significant issues with managing our pharmacy benefit program, PillarRx provided a program assessment. The assessment helped find coverage gaps and areas of improvement. Since we’ve started working with PillarRx we have seen no issues, no disruption and exceptional service and partnership for over 7 years.”

Let’s Work Together

Our practical guidance can help you create customized PBM solutions to help you maximize your financial outcomes, eliminate pharmaceutical waste and abuse, and increase member satisfaction.

PillarRx Consulting Pharmacy Benefit Solutions Logo

Contact us:

10700 W Research Drive Suite 3,
Wauwatosa, WI 53226
(844) 377-4246