PBM Systems and Services

Established, Privately Held Technology-Based Company

  • One of the nation’s largest privatelyowned healthcare information technology companies with a 30+ year history of focusing on pharmacy benefit management systems and services
  • Independently owned and operated so clients are not contracting with an entity that directly affiliated with a “Big 3 PBM”, is a brand new PBM or one for which pharmacy benefit plan management is a  secondary offering

Time-tested, Internally Developed and Maintained PBM Systems

  • Cloud-based administration and  web-based reporting applications in place since 2004; one of the first PBM claim processing vendors to safely and securely utilize the internet for online processing of pharmacy transactions

Highly Scalable

  • Currently configured to process >500,000,000 transactions per year; unlimited scale based upon hardware configuration

Highly Configurable

  • Currently administering 100,000+ benefit designs across 15,000+ unique Plan IDs in 250+ different pharmacy network configurations

Servicing Multiple Payer Types

  • Health Plans, Medicare, Medicaid, Commercial, TPAs, Unions, Hospice, PACE, 340B, Worker’s Compensation, Discount Card Sponsors, COB Programs, Patient Assistance Programs, and Other Payer Types

Designed for Interoperability

  • Multiple APIs and data exchange capabilities with client systems and third party vendors
  • Integrated web-based administration tool (e.ProCare) with role-based security for real-time data viewing and PBM data administration
  • Multiple supporting tools and applications to aid in client set-up, program maintenance, and ongoing PBM activities

Full Range of Services

  • Robust reportinganalytics and data services
  • Clinical, Account Management, Pharmacy Network, and Other Administrative Services

Range of Business Models

  • Software as a Service (SaaS)
  • Private Label Pharmacy Benefit Administration

 

Contact Us Today to find out how your Organization can be “Powered by ProCare Rx”

Featured Items

URAC Certification URAC Certification
PHARMACY BENEFIT MANAGEMENT
EXPIRES 01/01/2021
PBM Services Provided by ProCare PBM
MAIL SERVICE PHARMACY
EXPIRES 04/01/2021
Mail Order Provided by ProCare PharmacyCare