MORE THAN JUST A FULL-SERVICE PBM.

WE SPECIALIZE IN PACE!

As an NPA member, we are committed to serving PACE programs, both large and small. Managed by a team offering extensive Part D experience and a partner that processes more than 260 million Part D claims per year, we are exceptionally well-positioned to service PACE plans.

Our knowledgeable, capable team ensures all your Part D reporting and regulatory requirements are met.


We welcome the support of AscellaHealth, an organization that shares our commitment to an interdisciplinary approach and the development of effective care plans that enable patients and their families to access the most optimal care experience based upon their individual needs.


- National PACE Association



PART D CLAIMS PROCESSING

Our real-time claims processing system captures all of your claims, providing detailed data that allows you to monitor your pharmacy program and support accurate reporting.

    Real-time access to an electronic claims-adjudication system that is compliant with CMS requirements
    Standard and ad hoc user-reporting capabilities

CLINICAL SUPPORT

We offer a broad scope of clinical services that can be tailored to support unique client needs.

    PACE pharmacy and therapeutics committee
    Clinical pharmacist as a member of your account team

MEDICARE PART D REPORTING SUPPORT

We recognize that CMS reporting compliance and accuracy is important to your program. We also understand that PACE plans require a simple, efficient reporting process. Our systems are designed with this in mind.

    PDE reporting submission and reconciliation
    TrOOP reporting
    DIR reports and annual attestations
    CMS audit and bid support

PHARMACY SERVICES

Our complete pharmacy solution provides you with a seamless process to ensure the right medication is delivered to the right location at the right time.

    Long-term care pharmacy services
    Retail pharmacy solutions for acute and emergency needs
    Access to specialty pharmacy medications, including limited distribution

REBATE MANAGEMENT

We offer superior rebate management services designed to provide increased financial flexibility to our PACE partners. We understand what it takes to be fiscal stewards.

    Detailed rebate reporting
    Annual DIR reporting

PACE PARTNERSHIP

Service excellence is our goal! We partner with our clients to ensure they meet their goals.

    Dedicated client team
    CMS updates and access to our experts
    Part D BID and CMS audit support