ACTUALRx®

Third party contract negotiations are a required part of the business of Pharmacy. Properly ensuring these contracts live up to their promise is where it gets complicated, and you may not have the time or patience to monitor and analyze them yourself.

Our secure online database is the foundation upon which we offer specialized reporting, tracking, and detailed analysis that help you determine if your negotiated reimbursement rates are coming up short. We give you the leverage to get a more profitable deal in place for your next contract.

MANAGEMENT

  • Secure, online, proprietary database at master contract or network level
  • Centralized repository for all contract data and related documents

REIMBURSEMENT VERIFICATION

  • Payment verification from adjudicated to paid amounts in order to reduce negative financial impact
  • Customized reports based on varying levels of claim detail from PBM books of business, down to specific group levels to confirm compliance and performance
  • MAC rate identification and storage

IMPACT ANALYSIS

  • Online calculations to determine and predict financial profits and impact
  • U&C analyst to assist in managing market position
  • Customized below-cost analysis and reporting, including rebates and specialty drugs

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