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Services
Processing claims is only one small part of quality prescription benefit management. BeyondRx realizes that for a successful prescription benefit you need dedicated account managers, superior formulary management, tried and true clinical directives, and comprehensive data management, just to name a few. At BeyondRx we provide our clients, brokers, and TPAs with a dedicated account manager who is backed by, and has the resources of, the entire BeyondRx team. The BeyondRx Preferred Formulary has been created and maintained by doctors, PharmDs, and other healthcare experts focused on health efficacy and cost-effectiveness. Our clinical department has established clinical programs based on key drug data from pharmaceutical studies and the FDA to control drug utilization and maintain healthy outcomes. Of course, you can't control what you can't see, so BeyondRx has created data management tools to report on the performance of your benefit plan. In addition, we have established Proactive, Concurrent, and Retrospective DUR programs to control utilization. Lastly, we have systems in place to capture claims data for rebate generation and allocation to our clients.
BeyondRx Services
- Comprehensive Prescription Benefit Management
- Flexible plan design
- Completely transparent business model (BeyondRx has been transparent since inception)
- Detailed, user-friendly reporting
- Customer service help desk with "live" representatives available for members and pharmacies
- Dedicated account managers
- Proactive, Concurrent, and Retrospective DUR programs
- Clinical management
- Formulary services focused on healthcare and cost-effectiveness
- Mail Order programs
- 90 day retail programs
- Rebate management
- Online client, member, broker, and TPA services
- Aggressive nationwide pharmacy network
- Member, client, broker, and TPA communications
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