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    Pro Pharma Pharmaceutical Consultants
    &
    ProData Analytics


    Delivering Quality Consulting & Analytics Since 1986


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  • SMA

    Consulting


    Financial and clinical evaluations accompanied by tools to manage the drivers of change.


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  • CAA

    Concurrent Audit and Analyses


    Pharmacy Invoice Analyses – Identify, Prioritize & Manage Rx Adjudication Issues


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  • RA

    Retrospective Audit


    Pharmacy Audits & Management Prioritizing Corrective Actions Automatically


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  • FP

    Forecasting & Predictions


    Artificial Intelligence to Forecast and Predict the Impact of Specific Factors on Population


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  • PC

    Pre-Certification of Specialty Medication


    Prior Authorization Criteria with Efficacy, Dosing, Frequency, Combination Therapy & Cost


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  • RFP

    Request for Proposal (RFP) Management


    Vendor Proposals Evaluated Rapidly & Efficiently in a Customized Document-Linking Program


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  • Analytics

    Analytics


    Rapidly, efficiently, and graphically utilize integrated claims data to customize your analyses.


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  • SMA

    Specialty Medication Analyses


    Analyze & Validate All Elements of Medical & Pharmacy Spend and Actions for Outlier Providers


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  • FWA

    Fraud, Waste & Abuse


    Identify FWA at Pharmacy, Provider, & Patient Levels for Interventions and Correction


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  • JCC

    JCode Calculator


    Identify Specialty Rx HCPCS, NDCs, Pricing, Dx, Usage, FDA Alerts and Genomic Tests


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  • MAC

    Maximum Allowable Cost List


    Customized MAC List – Transparent, Accessible & All the Savings Go to the Payers


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  • CMR

    Comprehensive Medication Review (CMR) for Populations


    Automated Review of Medication - Link to Billing, EMR, Patient & Prescriber Letters


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  • CC

    Clinical Compliance


    Digital & Clinical Edits for Monitoring Medication Effectiveness and Risks


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  • QMP

    Quality Management Program for Populations


    Improving Quality-Prescribing Decisions for Your Members, Without Having to Change your Benefits


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Visit our Pharmacy Benefit News Page

We provide pertinent and relevant information on a regular basis to educate and to keep the general public well-informed with up-to-date healthcare information.

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OUR SERVICES

Bringing Clarity to Healthcare Decision-Making with Analytical Tools

For Your Specific Consulting Solutions.

We offer a variety of services that integrate both pharmacy and medical data to solve healthcare problems.

Every service we offer is can be customized to fit your organizations individual need.

To learn more about the services we offer please click on the items on the right.


Our Partners

Professor Speaks

Weekly Discussion on Issues that Matter

Join us every week as Dr. Craig Stern and Alex Hernandez take on current healthcare tends, issues and news.