Areas of Expertise
We recognize the consultants and brokers that we work with are health benefit experts and trusted client advisors. We believe it is our responsibility to keep you fully informed on all aspects of your clients' plans. We also recognize that you have limited time to spend focused on prescription programs in general. As a result, we endeavor to provide you with the relevant industry information that will positively affect your clients. Timely delivery of that information can give you a head start working with your clients to anticipate their future needs.
VIP Rx Solutions knows that we must be more than a traditional pharmacy benefit manager – we must be a strategic partner in the delivery of pharmacy benefits by providing clinical programs that effectively engage members, influence behavior and drive better health and cost outcomes. We provide these services through our Prescription Benefits Cost Containment (PBCC) solutions.
Our PBCC services include:
- Align the plan design to meet your objectives
- Build the perfect pharmacy network for employee access
- Pharmacy Claims Processing
- Formulary Management
- Rebate Services
- Member and Provider Helpdesk Services
- Cost Containment Programs
- Reporting Services
Patient Services
- Proactive outreach to patients and providers
- Medication adherence monitoring
- Patient assistance programs
Site of care strategy
- Infused and physician administered specialty drugs on medical benefit
- Home infusion, physician office, hospital outpatient
Utilization management
- Step therapy and prior authorization based on national guidelines
- Oncology - dose splitting
Care Management
- Pharmacist and nurse care led care team
- Focused on managing the disease state and avoidance of costly complications
Benefit Management
- Pharmacy and drugs formulary management
- Biosimilar benefit integration
- Compound strategy
Specialty Reporting
- Utilization and savings
- Performance Guarantee