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PAYERS

Apovia complements its payer

customer goals and objectives by providing quality pharmacy care services and collaborating on effective cost containment initiatives. 

Apovia caters to all the requests of its pharmacy partners.

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The high-quality pharmacy services

The high-quality pharmacy services

that Apovia operations can provide to our Managed Medicaid under-served population is unique from all other area pharmacies. The major differentiator is the Apovia arrangement of having a clinical pharmacist work hand-in-hand with all medical staff with patients, doctors, and nurses to optimize medication management.

successful partnership

Apovia has also initiated successful partnership

initiatives that are mutually beneficial to local Federally Qualified Healthcare Centers (FQHCs) and local Managed Medicaid health plans. These programs help lower drug costs to payers and financially support FQHCs' ability to provide additional care to the under-served populations. These data-driven initiatives have been identified through extensive data analysis provided by Apovia.

success

Apovia further supports

its payer customers by cooperating and complementing their Prior Authorization process which also supports our payer customer formulary compliance goals. Supporting our payer customer formulary goals helps to lower overall drug costs through drug rebate optimization. 

Other details on key Apovia payer support services regarding data analytics, case management, formulary compliance, and pharmaceutical relationships are summarized as follows:

DATA ANALYTICS REPORTS

1

  • Drug Shipping Data

  • Utilization Management Reports

  • Compliance Reports

  • Required Pharmacy Performance Reports

CASE MANAGEMENT SUPPORT

2

  • Compliance Reporting

  • Coordination of Services

FORMULARY PULL-THROUGH CAPABILITIES FOR SPECIALTY MEDICINE

3

The 3 links to successful pull through:  

 

Apovia is fully aware that there are 3 critical links in the specialty medication formulary pull-through chain. These are: the Payer, the Specialty Pharmacy, and the Pharmaceutical Manufacturer. Apovia leadership has extensive experience coordinating these 3 links for successful pull-through services. Apovia proprietary processes help to facilitate successful formulary pull-through programs. This expertise benefits Apovia payer customers by enabling them to optimize their drug manufacturer rebate arrangements.