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What PharmcoRx Can Do For Your plan.

Our high touch approach improves patient outcomes while reducing overall healthcare costs for our Health Plan partners

Example of Brand to Generic Report from PharmcoRx Pharmacy

Manage your practice's risk
Payors
CLOSE GAPS IN CARE

We take a holistic approach to our members health by identifying and closing gaps in care.

IMPROVE STAR RATINGS

Impact medication adherence and HEDIS measures through our enhanced pharmacy platform

REDUCE TOTAL COST 

Manage overall healthcare spend by minimizing cost associated with medications

Be on top of your practice's performance
Enhanced Reporting for Managed Risk
Brand to Generic Ratio

Keep cost down with available generic alternatives

Patient Adherence

We offer a diverse set of adherence tools including SMART PACK medication packaging

Post-Discharge Reconciliation

Normalize patients medication therapy after a hospital visit

*Example of brand analysis provided to medical offices. Not real data.

Pharmacy Services for Payors

Risk Management: No more impactable failing patients
PharmCo understands the importance of providing excellent, high quality medical care while minimizing excess use of healthcare dollars. Our risk management team will work with you and your healthcare providers to review the adherence and compliance of patients with the prescribed medication regimen and the physicians’ prescribing methods and trends.

As a 5-Star pharmacy, you can count on us to make recommendations based on best practices, current preferred formularies, and cost effectiveness. We will support your contracted providers with managing patient health risks and deliver pharmacy services to patients that go above and beyond simply providing medications.

Our pro-active patient engagement model and advanced suite of pharmacy services has been designed to reduce readmission risk, decrease adverse health events, lower costs, increase adherence, and improve health and wellbeing of your beneficiaries.
Compliance
PharmCo prides itself on staying in compliance with all rules and regulations. We make sure that we work with physicians and patients to ensure that all documentation is complete and accurate. We have zero to low audit recoupments and high performance scores because we conduct regular training and compliance oversight within the pharmacy. Our regular training meetings discuss topics such as ophthalmic and insulin calculations, note taking, DAW codes, brand vs. generic, high risk medications, prior authorization documentation, prescription completeness, data accuracy and integrity, FWA, and HiPAA.
Medication Therapy Management
PharmcoRx works steadily to ensure that all of our patients receive the best and most optimal health care possible. Our team will assess what medications are prescribed, and compare them to which medications are actually being taken in accordance with the prescription instructions. We will then report directly to the physician, to eliminate and reduce any obstacles creating non-compliance in the medication therapy, or to remove any challenges posed by conflicting medications in the patient´s individual medication plan.

PharmcoRx will work closely with all of our health care providers to ensure that the best possible medication therapy is being prescribed to most effectively work within the patient´s compliance limitations, as well as minimizing excess costs for the insurance providers, and to the patients themselves.
Compliance/Adherence Monitoring
At PharmCo we understand that patients who are not adherent with their recommended prescription regimen are at higher risk for a negative health event.

This risk leads to increased use of healthcare services such as hospitalizations, readmissions, urgent care visits, and specialist consultations.

Through PharmCo’s hands-on approach to patient interactions and complete portfolio of pharmacy services, we are able to monitor adherence and make recommendations to patients, care givers and physicians about making improvements to reduce healthcare risks.

According to EQuIPP, between 92-98% of PharmCo patients with chronic conditions like hypertension, high cholesterol, and diabetes are adherent based on 2020 data.
Learn more about PharmcoRx services for payors by scheduling a call here