Consulting Services
Increased complexity of prescription benefit plan development and management, combined with new healthcare reform initiatives, have left many managed care organizations evaluating their current providers and wondering if their needs are still being met, in the most cost effective way possible.
At Prudent Rx, our mission is to provide an unbiased and impartial evaluation of available prescription plans and help our clients develop and manage programs designed to fit their specific needs - and budgets. We offer expert management and consulting services that are founded on extensive industry knowledge, experience and a proven track record.
The principals of Prudent Rx are considered experts in all facets of prescription benefit management, including policies and procedures, prior authorization guidelines for medical exceptions, plan design and implementation, provider pharmacy networks, member services, claims process and management. Prudent Rx is dedicated to taking the complexity and confusion out of your pharmacy department.
The only certainty in healthcare today is change. Therefore prescription plans need to adapt and evolve to keep current with the industry. Prudent Rx consulting services are designed to meet the challenge of change to avoid potential costly mistakes.
Implementing a prescription program requires careful planning. You must have in-depth knowledge of the products and vendors available, and the insight to distinguish applicable program contents from "smoke and mirrors" and other incentives.
Because of the complexity of available vendors and products, the wrong choice, or worse, getting a program that is very different from the one you chose could be extremely costly. These types of mistakes, or delays, are not only costly in terms of actual dollars, but can also create member dissatisfaction and frustrate your providers.
Prudent Rx offers you a solution. Quite simply, our expertise and hands-on experience can help you quickly and accurately identify those vendors and products that fit your specific needs. We provide consulting services in all facets of the industry, including:
- Out-Source Pharmacy Department -
Director of Pharmacy Programs
- Prior Authorization Programs
- Policies and Procedures
- Custom Request For Proposal (RFP)
Development
- Proposal Evaluation
- Assessment and Analysis of
Potential Vendors
- Plan Design Analysis
- Plan Performance and Results
Assessment
- Formulary Review / Rebates
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