THE WAY THROUGH FOR

Pharmacy Benefits Management

Vendor
Selection and
Negotiation

Vendor
Oversight and
Management

Benefit Design
and Reporting

Clinical
Services

Pharmacy Benefit Management

The relationship with a Pharmacy Benefit Manager (PBM) can be a perplexing
arrangement for any client. Moreover, day-to-day attention must be paid to the vast financial components and the precise language in the contract verifying that the PBM is staying true to their promises. These activities require more resources than any one client may have.

Axia’s goal is to help clients determine whether their current PBM’s financial and service offerings are competitive and properly aligned to meet their objectives and to the overall marketplace for competitiveness. We ask critical questions:

  • Is the PBM delivering discounts, rebates and savings based on contractual agreements?
  • Are the benefit designs and clinical initiatives positioned to effectively manage today’s rising pharmacy costs?
  • Is the PBM recommending the most innovative and appropriate solutions?

Partnering with a market-leading consultative resource will effectively bring meaningful solutions to each area of the client relationship. With significant and proven experience, our service delivers a comprehensive resource providing guidance and solutions that drive results across every facet of pharmacy benefit management.

Vendor Selection & Negotiation

Vendor Selection & Negotiation

Marketplace evaluations —
Request for proposal (RFP), market check and renewal negotiations

Contract benchmarking

Implementation support and oversight

Contract and amendment negotiations and review

Vendor Oversight & Management

Vendor Oversight & Management

PBM audits
Financial – discounts and fees
Benefit design
Invoice reconciliation
Rebate reconciliation
Performance guarantees
Retail transparency
Acquisition-based pricing validation

Ongoing quarterly monitoring of contract performance and reconciliation with PBM annual process

Vendor performance scorecards

Issue escalation and resolution

Benefit Design & Reporting

Benefit Design & Reporting

Independent utilization and clinical reporting

Strategic consulting and development

Benefit design modeling and calculations

Pharmacy trend management

Quarterly utilization and cost review

Plan design impact

Industry trends

Benchmarking and comparative review

Specialty drug review

Clinical Services

Clinical Services

Specialty drug management

New drug and formulary review and recommendation

Formulary review and recommendations

Pharmacy & Therapeutics committee participation

Benefit exception review

Large case management

Contact

For more information, please contact Mark Romie at 952-945-3535 or simply submit the form below.

Our Address

8688 Eagle Creek Circle
Savage, MN 55378
United States

Email

MRomie@axiastrategies.com

Phone

952-945-3535

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