Navigate your Pharmacy Benefit with Our Pharmacy Benefit Consultants!

PillarRx understands your pharmacy benefit program is unique. When determining the client’s needs for better optimizing their program, important factors must be taken into account. What are the PBM obligations to you and are you maximizing those services, guarantees and promises or is there opportunity with the contract? How is the plan design and formulary management performing for the program? Are the reports you are receiving today actionable and provide opportunities or insight on how to possibly manage the program even better? Are you maximizing the benefits for your retiree population?

These factors play an important role when the PillarRx’s pharmacy benefit consultants analyze a client’s pharmacy benefit programs. Our customized solutions ensure your plan meets member needs expectations, government program compliance is satisfied, and your organizational financial goals are achieved. Our pharmacy consulting team averages over 10 years of industry experience. We know how to develop and manage pharmacy benefit programs for health plans, self-funded groups, business coalitions and public entities.

With nearly 30 years of combined and proven experience, our service delivers a comprehensive team of experts providing guidance and solutions that drive results across every facet of pharmacy benefit management.

Our expert team uses the data daily to provide guidance, oversight, monitoring, opportunity management, and more to bring value to our customers. Our most comprehensive PBM evaluation services include a full review of PBM operations and capabilities, financial analysis and comparisons, and full contract evaluation in the RFP process to provide a comprehensive evaluation, so our customers can make an informed decision about their future PBM partner.

Our pharmacy benefit consulting services create customized solutions to meet the needs of our customers.

Here are some of the ways we do this:

  • Trend Reporting & Opportunity Insight

  • Delegation Services
  • Medicare & Medicaid Compliance
  • Operational and PBM Oversight Support
  • Clinical Support

  • PBM Management & Oversight

  • Formulary Guidance & Assistance

  • Benefit Design Modeling

  • Market Benchmark

  • Market Check & RFP Support

  • PBM Contract Review

  • Negotiation Assistance & Management

PillarRx Consulting Pharmacy Benefit Solutions

A History of Long-Term Success

PillarRx had been providing consulting services for this health plan for three years. The client was happy with their PBM from a pharmacy claim adjudication and member service perspective. However, PillarRx recommended a financial evaluation of their medical rebate vendor as additional savings opportunities were available.

The incumbent, as well as two other rebate aggregators, were solicited. PillarRx evaluated financial responses and potential rebate dollars based on member utilization. PillarRx provided detailed reporting to the client, allowing for a sound business decision.

If selected, the client could realize an increase in overall rebate dollars by $300,000. PillarRx continues to provide quarterly consulting services for this client.

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