Keep up with the latest information in the Pharmacy Benefit Industry each month! From articles to videos, this is your one-stop shop to staying up to date.
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Industry News and Updates
PillarRx’s Auditing Services Found Over $1 Million Recovery [Case Study]
PillarRx was recently awarded a five-year contract renewal. This renewal was based on previously implemented pharmacy benefit program recommendations, resulting in cost-savings opportunities. An example of how PillarRx’s audit methodology and the importance of
What is the MONY Code
In the pharmacy benefits space, there is a term commonly used called the MONY code. What is the MONY code? This term is referring to the Multi-Source Indicator from Medi-Span. The Multi-Source Indicator is used by some PBMs
What are Delegation Audits
PillarRx's Compliance and Audit Specialist within the Government Programs Team, Lisa Caprara, is giving a short presentation on one of the services we offer, Delegation Audits! In this video she will go over: What
Medical Benefit VS Pharmacy Benefit
In the past several weeks, PillarRx has been asked to help plan administrators better understand their medical benefit vs pharmacy benefit, as well as explaining which services could potentially fall within both contracts. In
J-Code Analysis: An Overview for Managing Specialty Drug Costs
As new specialty drug treatments emerge, there is a growing focus on managing complex therapies and cost containment strategies within medical and pharmacy benefit plans. This blog post outlines what are J-Codes, audit process
COVID-19 Vaccine Rollouts and Telemedicine
COVID-19 continues to be a major concern in healthcare in early 2021. From vaccine shortages to telemedicine rising in popularity there are many concerns on how this will continue to affect everyone’s day-to-day lives.
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