Medicare Part D Support

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(PerformRx's) hard work and efforts are indicative of (its) 'Next Generation PBM" mentality'.

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To learn more about PerformRx, call us at 866-533-5492 or click here to contact us.

You Can Rely on Expert Medicare Part D Support From the Company that was there at the Beginning

PerformRx's Medicare Programs department diligently maintains knowledge and expertise of ever-changing Part D requirements. Our proven relationship with CMS, and our experience with the Part D program, will provide clients with peace of mind relating to Medicare compliance.

Our experience with Medicare Part D began in 2006 with the inception of the program. Since that time, we have leveraged our experience with CMS to provide our customers with seamless implementations and continued support of their Part D benefits. PerformRx's clients include MAPDs, PDPs, and SNPs. We provide the next generation of Part D services and support, including the following:

Medicare Part D Services

  • Part D Formulary Support
  • National Pharmacy and Therapeutics (P&T) Committee
  • Medication Therapy Management (MTM)/Drug Utilization Review (DUR)
  • Claims Processing and Adjudication
  • Explanation of Benefit (EOB) Processing
  • E-Prescribing
  • Pharmacy Network Administration
  • Coverage Determinations (Prior Authorizations)
  • Rebate Contracting and Management
  • CMS Reporting (as required)
  • Prescription Drug Event (PDE) Processing
  • Year-End Financial Reconciliation (PDE/DIR)

Value-Added Services

  • Compliance Programs
  • New Contract Applications, Service Area Expansions and Part D Bids
  • CMS Audit Support
  • Pharmacy Member Services
  • Network Pharmacy Audits
  • Quality Assurance
  • Part D Reporting Submission
  • Health Plan Management System (HPMS) Support
  • Part D Website Development and Support
  • Part D Marketing Materials
  • CMS Guidance Updates
  • GeoAccess Reports
  • Part B Processing

Medicare Part D Support - Medicare Part D Program - Medicare Part D Benefits

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URAC Accredited - Pharmacy Benefit Management - Drug Therapy Management
Pharmacy Benefit Management

Proud recipient since 2007

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Pharmacy Benefits Management - Pharmacy Benefit Manager - PBM Industry

 

To learn more about all of our services, call us at 866-533-5492.

 

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