PBIRx Information

Established in 1993, PBIRx has exclusively been providing intelligent solutions to our many clients in the management of pharmacy benefits. Our staff includes actuaries, financial, data and clinical analysts; clinical pharmacists; Legal Counsel; HIPAA Compliance Officer and experts in the pharmacy benefit management industry. We serve as your personal pharmacy benefit expert, helping our clients and broker partners to evaluate, modify, design and execute savings solutions to manage your pharmacy benefit bottom line PBIRx will present an unbiased, objective financial analysis always with sensitivity to member and client impact. Our proactive recommendations are based on our ability to anticipate change in the industry. The result is to reduce drug cost while optimizing healthcare outcomes. Our team is dedicated to these values. There are many options available to clients today, which were not available until recently. Through our vast knowledge and expertise in pharmacy benefits we deliver a PMPM trend well national averages. Experience in recommending plan designs, ensuring smooth transitions, and analysis of data to more accurately manage drug trend is also an expertise provided by PBIRx. PBIRx is the expert in Rx Carve out plans. PBIRx provides complete evaluation of present pharmacy benefit, plan design, and associated costs; development of PBM RFP and negotiation strategies; quotes from various vendors utilizing actual claims data for re-pricing; proprietary contract language relating to calculation methodologies for all financial terms/guarantees; implementation liaison; analysis of data and recommendations for optimum renewal rates and/or decreased pharmacy costs.