Scope of Services & Benefits
PBM Transition
Member Service
Utilization & Reconciliation
Market Checks & Renegotiations
Custom Pharmacy Benefit Contracts & Solutions
World Class Implementation, Management and Consulting
Our veteran experience combined with data driven decision making produce an average of 30% savings that can be reinvested in your business.
PBM TRANSITION
CHOICE • Over 200 potential savings combinations • 9 Pre-negotiated PBM contracts, 6 specialty solutions and 3 Integrated cash solutions • Fully transparent line by line re-price analysis
LEVERAGE • Strength and negotiating power through our large network and relationships • Access to superior pharmacy benefit contract options with solid economics, definitions and optics to mitigate pharmacy spend
SAVINGS • Continually finding new ways to save and enhance access • Advisory services to drive down cost and continually work on our client’s behalf to mitigate Rx spend • Clinical team and robust programs increase quality of care and affect Rx trends © Copyright 2021 CoeoRx
• Ensure all implementation items are completed prior to the effective date • Assist PBM and Client to map current benefit design to new benefit build out • Work with prior PBM to get all necessary transition files transmitted to new PBM
MEMBER SERVICE • Proactively identify and address member disruption with white-glove transition plan • Proactively identify any member challenges throughout the year to ensure best in class service and support
UTILIZATION & RECONCILIATION • Perform annual financial reconciliations to ensure all contractual guarantees are met by PBM • Provide market updates on any new programs available to help reduce cost • Provide detailed reporting on claim utilization, high cost claim reviews, and cost projections
RENEGOTIATIONS • Execute market checks to ensure the client is receiving best is class terms and pricing • Utilize pharmacy experience as leverage in PBM renegotiations
