Contract Advisory Services

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Formulary & Membership Compliance

How closely do you monitor the terms of your contracts? At PharmaMetrics, we can take over the time-consuming chore of making certain that all the conditions and terms of your contracts are being met. The end result – you’ll saving money, as well.

Formulary Compliance

PharmaMetrics is able to link various third party data that you purchase to determine if plans are in fact compliant with the formulary that is stated in the contract.  In many instances we have found that the contract is vague and National Account Managers negotiated a formulary with the Payer that is not being followed.  By auditing your formulary you ensure that you are the position you agreed to with the Payer and are not possibly being disadvantaged.    It is a very cumbersome and timely process to manage but well worth the extra effort especially when trying to understand your market share.  We can start with one payer and upon successful completion move on to another payer.  We work with you to ensure you understand our best business practices to improve your top line revenues.

Organizing and Optimizing Members/Memberships

Are you paying rebates for members/plans that do not meet the terms and conditions of the contract you have with them?  Most of the large PBMs have memberships of HMOs and Employer Groups that can exceed 3,000 members.  It is a very cumbersome and timely process to manage. 

From a systems perspective, PharmaMetrics can link multiple payer data files to identify inconsistencies in membership and members that do not meet your specific contract language.  We have saved our clients several thousand to many millions of dollars – all of which directly impact their bottom line. 

We often start with one payer and upon successful completion move on to another payer.  As always, we put our best business practices to work to make your business more profitable.

Further Contract Advisory Services include:

For more information regarding this service please contact us at 215-461-0877.

  •  “What sets PharmaMetrics apart is the depth and breadth of their true business knowledge.”
            -- Director, Contracts, Top 20 Pharma

  • “PharmaMetrics solutions can either be a complete business solution or independent modules that supplement your current business infrastructure.”
            -- Director, Contracts, Top 20 Pharma

  • “The implementation was easy and I didn’t need any training whatsoever. If you know how to do your job – the system follows your process. You don’t have to change your process to meet the systems needs.”
                -- Director, Corporate Compliance, Dermatological Company

  • “The industry experience and knowledge of their expanded team of experts sets them far apart from other service providers within the industry.”
                -- Director of Contracting, Amarin Pharma Inc.

  • “PharmaMetrics offers the services and software to handle all of our Managed Markets needs from front-end pricing analytics to the ban-end contract administration.”
            -- Sr. Director, Contract Management, Top 10 Pharma

  • “The robust reports generated enable more accurate forecasting and financial analysis.”
            -- Sr. Director, Top 10 Pharma