Clinical Management
Our Pharmacy Benefit Management (PBM) solution provides accurate clinical risk assessments so claims professionals can make informed decisions. In fact, 1 in 5 claims have inaccurate assessments with traditional PBMs considering only network pharmacy prescriptions. We look at all prescriptions to provide a complete view of patient care and the most accurate assessment possible.
Patient Inquiries:
Taking A Holistic Approach to Clinical Management
As much as 39% of pharmacy spend comes from out-of-network sources traditionally unmanaged by PBMs. By bringing these prescriptions into our comprehensive clinical solution, we provide a holistic solution addressing all pharmacy expenses to manage overall claim performance.
Industry Leading Pharmacy Expertise
We know every client faces unique business challenges. You require a partner that understands the needs of your claim population to achieve the best outcomes while keeping overall costs down. Our experienced PBM team empowers you with the right tools including in-depth reporting, tailored clinical insights, actionable recommendations, and unparalleled integration to build a program designed exclusively for you.
Connecting Clinical Insights
Our experienced team of dedicated workers’ compensation and auto pharmacists deliver a comprehensive clinical program that employs point-of-sale controls and clinical management from first fill to claim closure. Our flexible solution allows you to customize your program down to the individual drug list and manage how we communicate with your team.
We feature cutting-edge risk management and monitoring programs that connect your team to comprehensive end-to-end clinical insights and smart decision-making recommendations to keep your claims population on the road to recovery.
Our clinical team helped one Utah client decrease opioid prescribing by more than 50%.
Dedicated Compliance Team
Workers’ comp and auto compliance is complex and constantly changing. When laws are changing at rapid speed, you need a business partner that will ensure you are prepared.
Our nationally recognized policy experts spend extensive time with state legislators and regulators to fully understand new regulations and help our clients understand and implement any changes through regular updates, timely alerts, and personalized consulting.
In business I have never had more eager, friendly, and happy employees willing to help, no matter what the problem is—your employees do it all!!! I know that I can call ScriptAdvisor and the problem I thought I had, isn't a problem, they solve everything. Thank you all for your help and kindness.
ScriptAdvisor Customer, AdjusterLearn More
Navigate Next Now
Our extensive pharmacy program delivers the industry's most comprehensive PBM solution so that you, your team, and your program can navigate what's next with success. Contact us to find out what's next for you. For patient inquiries, please call 866.549.1552.