A Turn-Key Solution for You To Become a PBM
As a Private Label Partner, you can perform a Sales-only role or take on additional functions such as Account Management, Customer Service and Accounting.
Revenue Share
Our partnerships are based on sharing the revenue. What responsibilities and services you choose to provide are up to you, and can of course be changed as needed. The revenue share is determined by the intensity of services selected.
Clinical Services
ForceRx effectively manages clinical utilization through a “real-time audit” of high-cost claims. All claims requiring a prior authorization are reviewed by clinical pharmacists with years of experience in the industry:
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We’ve Reduced Clients’ Annual Pharmacy Spend By 15% to 20%
This was accomplished through direct cost savings on existing medications and cost avoidance on newly prescribed medications.
Customer Portal
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Flexibility
The customer portal can communicate with any PBM Adjudicating System. As a partner, you can also utilize our in-house system.
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Customization
No matter what, we’ll customize this experience to your needs.
Adjudication and Network
Our adjudication component provides access to our national network of over 70k pharmacies, or it can easily integrate with your existing network.
Integrations
ForceRx is able to manage all of the file and data exchanges necessary to manage clients’ claims and populate the adjudication platform and support compliance requirements.
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Near Real Time Medication History
Paid and rejected
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Eligibility
File updates and on the fly
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Prior Authorization
Historical and current
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Prescribers
Individuals and panels
Work Comp Bill Review Services
There are always paper invoices involved with Workers’ Compensation. Let ForceRx reprice those and get the next invoice processed online.
Customer Service
- Multilingual
- Trained in Workers’ Comp
- Based in the U.S.
Our customer call center is available to assist 24 hours a day, 7 days a week, 365 days a year. Our customer call center scripts are customized to meet the needs of your private label brand, including dedicated toll-free numbers.
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Prescription Fulfillment
All calls related to including pharmacy, prescriber, injured worker and our clients
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Real-Time Prior Authorizations
Creation and completion
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Retail Card Requests
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Claim & Injured Worker Entry
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Portal Training
Account Management
Our account management team will support daily needs such as changes to program design, changes to dollar limits, formularies, and related functions. As well as provide strategic consulting to manage ever-changing industry requirements.
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Report Requests
Changes to existing or new reports
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Stewardship Meetings
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Compliance
Not the implementation but the discussion of new issues that arise, such as EDI reporting requirements, state formularies or PBM registration
Accounting
ForceRx automates all the invoicing and is branded with your logo.
State EDI Services
We provide State EDI reporting for our clients and can do the same for our partners’ clients.
Reporting and Analytics
Sophisticated Algorithms
Get real-time analytics for actionable insights
User-Friendly Dashboard
Our intuitive dashboard allows you to quickly drill down for pin-point accuracy
Real-Time Alerts
Keep your fingers on the pulse of your plan
Control Costs
Understand plan performance sooner, course-correct faster to control costs
Client Communications
Call, email, text, chat… whatever works for you!
Implementation
The transition to a new PBM Partner requires a vendor with significant experience. ForceRx has the experience and expertise to guarantee this process is smooth and completed on time based on the exact specifications of your organization. It is of the utmost importance to us that the implementation and transition is a positive experience.
Our Six Strategic Phases for Efficient Implementation:
Discovery
Configuration
Load Data
Testing
Go Live
