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