Pro Pharma Rx MAC™
Rx MAC™ - Pharmacy Maximum Allowable Cost™
Pro Pharma is a Multi-Service Consulting Firm specializing in solutions for managing Pharmacy Benefits for Self-Insured Employers, Unions, Third Party Administrators, Managed Care Organizations, Physician Groups, Health Insurers/Workers’ Compensation Insurers, and Integrated Health Networks.
Consulting Services Include Claims Management/Oversight and Management of Benefits, most specifically Client-Specific MAC List Development and Maintenance as follows:
Pro Pharma develops customized, fully transparent Client Specific MAC Lists, and then provides the following on a monthly basis for maintenance:
- Medicaid Compliance and/or CMS FUL Compliance
- Flexible Pricing Determinants
- Lowest Cost
- Average of Lowest 3 Costs
- Average of all Generics
- Median of all Generics
- Flexible Price Sources, including, CMS, MediSpan, First Data Bank, Redbook
- Flexible Therapeutic Categories (Customizable)
- Flexible Generic Availability
- Immediate availability
- Predetermined time gap from end of patent
- Minimum number of Generic Manufacturers
- Decision allowance for generic all, store brands, re-packagers, multisource, and/or branded generics
- Flexible Code Basis, including GCN, GPI, and NDC
Pro Pharma’s capabilities are focused on Data Analytics and based upon Demographic modeling of Integrated Medical and Pharmacy Data Sets. Our experience sets us apart and positions us as a valued Consultant for those clients interested in “Thinking Outside of the Box” to implement solutions to Benefit Management which are both Quality-Based and Cost-Conscious.
To Preserve Benefits, While Controlling Costs…
For more information about these services or applicable rates
in your service area,
please contact Carol Stern @ 818-701-5438 or carol.stern@propharmaconsultants.com
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