We work in tandem with our clients to determine which
type(s) of pharmacy network best suits their plans.
We can even integrate existing pharmacy networks into
our system. Features include:
Network development and administration
- facilitating all aspects of network maintenance
Contract administration -
ensuring all details are negotiated and maintained
Pharmacy payments - providing
the flexibility for HealthTrans and/or the client
to pay the pharmacy directly
National pharmacy networks
- including over 54,000 participating pharmacies,
accommodating clients who require coast-to-coast
pharmacy network coverage
Preferred networks - allowing
customization for clients who wish to work with
select pharmacies
Discount pharmacy networks
- allowing clients the option to incent enrollees
to visit discount programs, where allowed
Customized pharmacy networks
- offering clients the capability to design custom
networks that meet their specific needs
Local pharmacy networks -
selecting pharmacy participants based on regional
requirements
Pre-existing network administration
- working with clients to incorporate their existing
networks into their plan design
Generic MAC program - offering
a broad based and deeply discounted MAC (Maximum
Allowable Cost), in an effort to contain costs
Pharmacy profiling and credentialing
- a managed quality assurance and educational
system which monitors pharmacy credentials and
ensures overall effectiveness and quality of our
pharmacy networks
Centralized and on-site pharmacy
auditing - allowing for validation of pharmacy
claims submission record keeping, and payments
through statistical, desk and on-site audits