RxAdvance

RxAdvance is a national full-service pharmacy benefit manager (PBM) leveraging Collaborative PBM Cloud™ to manage standard and specialty drug benefits with unmatched regulatory compliance and transparency. In addition, RxAdvance offers a global pharmacy risk partnership model standing shoulder-to-shoulder with plan sponsors. RxAdvance delivers integrated PBM services that reduce overall pharmacy costs and drug-impacted medical costs while improving patients’ quality of life. With Collaborative PBM Cloud™, we administer comprehensive PBM services with operating costs 40% lower than the costs of any other PBM today, which leads to lower administrative fees, reduced drug unit costs, and increased rebate income to plan sponsors. With Intelligent DUR360 Gateway™, we promote optimal utilization of drug benefits and reduce overall medical spend. By providing intelligence at the Point of Care and Point of Sale, and establishing a robust platform for member and plan sponsor engagement, we are setting the new standard in PBM service excellence. RxAdvance has created an innovative PBM paradigm that offers • Pharmacy cost savings Optimal utilization of drug benefits by leveraging the Intelligent DUR360 Gateway™ Operational efficiency leading to lower administrative fees Promote untapped generics Control FWA Transform specialty management from a “Buy & Bill” model to a “Value-Based & Outcome-Driven” model • Drug-impacted medical cost reduction and improved quality of life for patients Medication adherence management (MAM) Coverage gap prediction and prescription planning (CGP3) Reduced adverse drug events Integrated MTM with physician-led CMR • Unmatched system-driven regulatory compliance minimizing personnel involvement • Care stakeholder collaboration enhances communication between prescribers, pharmacists, patients, and plan sponsors • Complete operational visibility and transparency to plan sponsors • Unprecedented user configurability