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Services and Programs

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"We focus on the rational use of medications, with the goal of optimizing the clinical processes while reducing their cost." -
"We work for the patient´s well - being and the rational use of medications." -
"We are your ally in services and solutions for the patient's well - being." -

MC-21´s outstanding characteristic is its continued client support through unique programs and services tailored to their needs.

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 Service

  • 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