Notice to our Clients. Click here for more information MC-21 COVID19 - Polices and Procedures.

Clients

We are people caring for people.

"Every client opens a world of possibilities and new approaches." -
"We feel honored with our clients' trust." -
"We offer unique services and solutions, tailored to our clients needs." -

Our commitment is to serve with excellence and cultivate solid, transparent and long-standing relationships with our clients.

Clinical Services

  • Formulary Management Services
  • Administration of Pharmacy and Therapeutics Committees
  • Development of Clinical Protocols
  • Drug Utilization Review and Evaluation Services (DUR)
  • Drug Trend Reporting and Consulting
  • Benefit Plan Design
  • Specialty Medication Management  Program
  • Prior Authorization Management
  • Clinical Quality Improvement Program
  • Medication Therapy Management Program
  • Medication Adherence Program
  • Grievances and Appeal Management

Providers Services

  • Pharmacy Network Education Program
  • E-Prescribing
  • Physicians Education Program
  • Drug Information Center

Cost Containment Programs

  • Retail Pharmacy Networks
  • Specialty Pharmacy Networks
  • Mail Order Pharmacy Network
  • US Pharmacy Network
  • MAC List Development and Management
  • Rebate Management Program
  • Pharmacy Auditing Program
  • Fraud Waste and Abuse Program

Information Technology

  • Claims Processing and Adjudication Services
  • MC-21 Applications Suite
  • PRESCRIPTREND™: Business Intelligence Reporting System
  • Coordination of Benefits (COB)
  • Member and Provider Eligibility Processing

Customer Services

  • Member Portal
  • Client Portal
  • Pharmacy Call Center
  • Member Call Center
  • Mail Order Call Center
  • Prior – Authorization Call Center
  • Account Management
  • Direct Member Reimbursement
  • Communication to Members