Simplify the Chaos.
Reclaim Your Team's Focus
Still juggling spreadsheets, disparate systems, and manual credentialing? Switch now. Upgrade to Pharmacy Relationship Management (PRM) solution. We help pharmacy leaders simplify compliance, digitize operations, and boost productivity. Our solutions help you do more with less.
Our Impact by Numbers
Years of Experience
Independent Pharmacies including PSAOs
Pharmacy represented by Chains
Network Enrollments processed
Documents maintained and managed
Individual pharmacies updated
Our Leadership Team
Todd Grover
Todd is a founding member of the PharmacyFocus team and has over 20 years of experience in the pharmacy industry.
Mihir Desai
As CIO, Mihir leads the PharmacyFocus technology team, delivering complex technology solutions to clients across the pharmacy industry.
David Park
David leads the PharmacyFocus Data Products and Analytics practice and is the organization's Information and Security Officer.
Prathap Medikonda
As the Senior Enterprise Architect, Prathap leads all PharmacyFocus product development and ongoing support.
Sushma Daita
Sushma is the Application Architect on all PBM products and services and currently oversees MedImpact's Pharmacy Portal.
Madhuri Bhoite
Madhuri is the Application Architect on all products and services delivered to NCPDP, the industry premier standards organization
What We Do
PharmacyFocus is transforming the way companies interact with pharmacies through a broad range of enterprise applications and technology services. Since introducing the industry's first pharmacy credentialing platform in 2006, PharmacyFocus has provided industry leaders with network management, data collection, communication, contracting, finance and technology support.
PharmacyFocus strives to improve business critical activities between pharmacy providers and pharmacy benefit managers (PBMs), pharmacy services administrative organizations (PSAOs), drug wholesalers and pharmaceutical manufacturers.
Pharmacy Relationship Management (PRM) Platform - Enterprise Applications for PSAO's and PBM's
Solve some of the toughest challenges managing a national pharmacy network
- Adhere to compliance rules and regulations that are constantly changing (client specific, state specific)
- Process high volume of ownership and PSAO relationship changes, stressing contracting and enrollment processes
- Balance client pricing and pharmacy reimbursement
- Integrate disparate technology applications and data sources that struggle to adequately serve business operational needs
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One login | One platform | One source of truth
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Enrollment | Credentialing | Compliance
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Real-time | Accurate | Customized
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No code | No complexity | Configured for you
Pricing and Analytics Services
The PharmacyFocus team's domain expertise, industry relationships and trusted partnerships are leveraged to build and maintain unique customized platforms creating actionable pricing analytics:
- Profitability and performance
- Reconciliation and contract management
- Forecasting, budgeting and negotiating
PBM Performance Evaluation & Reimbursement Optimization
- Assess PBM Performance, measure contract compliance and network reimbursement.
- Evaluate Claims Paid at a loss. Determine if reimbursement or sourcing issue?
- Measure reimbursement across payers - AWP-based, PAC-based markup or cost to assess profitability.
- Optimize MAC reimbursement, achieve specific contractual targets.
Contact Us
Address
6715 Backlick Road, Suite 205, Springfield, VA 22150
