Our contracts cover thousands of commercial, Medicare Part D and Medicaid plans across the U.S. and Puerto Rico. But where some PSAOs focus solely on access (quantity over quality), our uniquely conservative philosophy means if you won’t profit, we won’t sign it. Every PBM agreement is expertly reviewed and negotiated to protect pharmacies from losses due to low reimbursements, high fees and DIR clawbacks.
We apply a highly analytical methodology, data-driven platform and commitment to pharmacy profitability to evaluate every contract – a process that includes our pharmacist-led Advisory Board for member input and unrivaled transparency. Our process carefully balances access, outcomes and reimbursement to assess the full impact of every contract on our pharmacies, and we deliver the concise, reliable, detailed visibility you need via our member portal.
Pharmacy First contracts include point-of-sale reimbursement for open networks, narrow networks, performance-based networks, and Part D non-preferred and preferred networks. We have agreements in place covering effective rates for generics (GER), brands (BER) and dispensing fees (DFER), as well as performance-based DIR agreements. And with each contract, you have assurance that the terms support your pharmacy’s financial health. We also provide robust data engagement and customer service to protect your pharmacy from contract non-compliance.
The terms of effective rate contracts can vary significantly. Pharmacy First monitors operational performance closely – and with full transparency – so you don’t have to. Our selective escrow process captures overpayments only where necessary to ensure minimal disruption to cashflows. Via our member portal, we provide fully validated PBM-level and transaction-level reporting, as well as drill-down visibility into escrowed funds.
We drive clinical excellence with drill-down, script-level performance visibility. From end-to-end reporting and contract-level analysis by our managed care team and in-house clinical pharmacists – to our money management programs that ensure accuracy on every penny – we provide clinically focused solutions that protect your profitability from DIR fees. Our user-focused member portal delivers full visibility right to your desktop, and we actively engage pharmacies wherever we see opportunities for quality improvements that drive better performance.
It’s easy to join Pharmacy First, and you will see the benefits right away. Contact us to learn more about what makes us the right PSAO for you.
