Clinical Technology Intelligence (CTIRx) By PBIRx

PBIRx®

Intelligent Solutions in Pharmacy Benefits

612 Wheelers Farms Road, Milford, CT 06461

(888) 797-2479

At PBIRx, we are all about finding ways to minimize healthcare costs by developing cost saving solutions that each of our many clients can benefit from. Aside from our consulting and auditing services, one of the major benefits we offer is our clinical technology intelligence, also known as CTIRx. Through this service, our goal is to promote clinically appropriate prescription drug utilization, which in turn results in positive healthcare outcomes (including pharmacy benefit savings, of course).

To ensure that our clients are paying the appropriate prices for pharmaceutical services, we run their claims through our CTIRx data processor. Then, we carefully analyze the results to determine what steps must be taken next in order to present our clients with the most beneficial clinical savings programs.

But what exactly are we analyzing?

Throughout the process, we complete a monthly analysis of cost and claims for all types of prescription drugs, review physician prescribing practices and manage specialty spend by following along with the steps presented in our specialty drug tool box. Furthermore, we analyze the cost of prescriptions through medical J code and compare that to the pharmacy benefit, and determine how we can alter drug dispensing to further benefit the client.

Since pharmacy benefits are so complex by nature, we have made it our priority to offer providing entities the services they need to ensure that what they are spending accurately reflects the lowest possible prices. For more information about our CTIRx services and how we can help you manage your pharmacy benefit costs, please visit our website or contact us at 1 (888) RxPBIRx (797-2479) today.

PBIRx Finds New Office Space

PBIRx®

Intelligent Solutions in Pharmacy Benefits

612 Wheelers Farms Road, Milford, CT 06461

(888) 797-2479

With prescription costs constantly on the rise and overall healthcare costs putting a strain on the wallets of many, we at PBIRx know how important it is for employers and other benefit providers to be able to control them. Therefore, we have made it our business to assist a variety of clients with the management of their pharmacy benefit costs by offering some the best pharmacy benefit auditing and consulting services. Did you know that we perform audits nationwide?

Thanks to the support from those we have been able to help since our firm's inception, we are excited to announce that we have grown to a point where new office space was needed to house our growing staff and expanding technology! Therefore, on May 1, we relocated to a new office within our current building. Since our address hasn't changed, you won't need to update any of your records, however, we just ask that you please be patient with us as we continue to get settled in our new home.

To all of our loyal clients, we would like to say thank you! We are looking forward to working with you from our new and improved office space!

PBIRx's mission is to create optimal healthcare outcomes while minimizing overall healthcare costs. With a team of experts who possess years of experience in the field, only the most strategic cost saving solutions will be presented to each and every client. For more information about the services offered, please visit www.pbirx.com or call (888) 797-2479 today.

The Benefits Of Auditing Your Pharmacy Benefit Plan

PBIRx®

Intelligent Solutions in Pharmacy Benefits

612 Wheelers Farms Road, Milford, CT 06461

(888) 797-2479

Although you may have a fantastic relationship with your PBM and trust that they are billing the pharmacy claims according to the terms and agreements outlined in your contract, you are only doing yourself an injustice by not having a professional with state of art technology and experts to examine your claims file as compared to contract language and discounts to confirm accuracy of adjudication. After all, it is very easy for things to get lost in translation or during the time that your PBM's personnel manually enters data. 

When you have your pharmacy benefit plan audited by an expert like PBIRx, you can be sure that the financial terms, rebates and guarantees in a PBM contract are met by your Pharmacy Benefit Manager and that any discrepancies are negotiated in your favor.  

As a providing entity, an auditing program such as our own, Audit Rx, will give you control over the terms stated in your contract so that you know exactly what discounts and rebates you should be receiving. And the best part? If you have lost out on savings because your PBM has not acted according to the terms in your contract, when you audit with PBIRx, you can earn those savings right back! We have a proven track record of negotiating extensive recoveries for our clients due to discrepancies in what is stated in a contract vs. the actions taken by the PBM. Through both our Audit Rx program and our 340B compliance audits, you can rest assured that you're not paying a penny more than necessary.

With the new year well underway, are you finally ready to have your plan audited for accuracy? If so, we're ready to help! To learn more about our pharmacy benefit auditing services, visit us on our website or contact us at (888) 797-2479 today!