Pharmacy Benefit Management Services

We offer full-services or flexible options to health plans, employer groups, unions and Taft-Hartley Plans, municipalities, and TPAs. Our collaborative approach and competitive pricing models will help you safeguard your bottom line while providing quality-driven pharmacy benefits.

Account Management Team

Dedicated, Responsive and Experienced. Service is at the core of our business. We empower our people – so you can focus on your business.

Rebate Management

Our superior rebate management services are designed to coordinate with your formulary while providing the financial flexibility you need to meet your overall benefit goals.

Specialty Pharmacy

With the ever increasing number and cost of specialty drugs—experienced pharmaceutical-focused management is crucial. Our programs coordinate member, physician and pharmacy to manage all Specialty Drug needs—including those paid under the medical benefit. A carve-out Specialty Pharmacy program is also available. Ask us about our Limited Distribution Specialty Pharmacy program.

Member Engagement

Our innovative Mobile Application is designed to keep pace in today’s busy world.  Personalized reminder messaging, a national AscellaHealth Pharmacy Network locator, and other informative tools and information, is the perfect partner to an active lifestyle.

Reporting & Analytics

Our easy-to-use, web-based reporting tools can integrate both your medical and prescription claims data, providing the flexibility and analytics you need to truly understand your prescription drug spend.

Clinical Solutions

Our clinical solutions are designed to get the right drug, to the right person, at the right time.  Formulary management, claims processing edits, and focused Medication Management Programs, all supported by our P&T Committee, are collaboratively tailored to your needs. AscellaHealth’s proprietary automated prior authorization tool, PANOW™ is available to clients who wish to leverage their own clinical resources

Superior Claims Adjudication System

Our claims processing system allows easy access to real-time claims information and the detailed data you need to monitor and manage your drug benefits.

National Retail Pharmacy Network

Through our Retail Network, your members can get their prescriptions filled no matter where they are at our more than 68,000 pharmacies. All major chains are included.

Mail Order Pharmacy

At AscellaHealth, we don’t own our Mail Order Pharmacies, so our goals are aligned with yours. Your members can use our standard Mail Order Pharmacy, or for our union and Taft-Hartley clients, we offer our union-staffed Mail Order Pharmacy.