PHARMACY BENEFIT INTELLIGENCE^®

Rebate Aggregation Services

PBIRx skilled rebate aggregation services maximize savings

PBIRx offers its clients formulary management and rebate administration services. We provide programs that meet the needs of our clients while being flexible, transparent, unbundled, and a la carte. Formulary management is inherently intertwined with rebates. Compliance ultimately drives rebate dollars. PBIRx’s clinical team provides ongoing education and recommendations on how to balance cost with appropriate care for the client’s specific utilization.

Through our data analytics, PBIRx provides regular formulary opportunity reporting including manufacturer level market share analysis, drug level analysis and “easy-win” analysis.

Who we serve:
- PBMs
- Health Plans/TPAs
- Long Term Care Providers
- Hospitals
- Discount Card Providers
- Workers Compensation
PBIRx services include:
- Negotiate with pharmaceutical manufacturers &/or rebate intermediaries to obtain rebates on qualified claims from eligible persons
- Develop & implement formulary management & clinical programs designed to optimize formulary compliance by eligible persons
- Submit qualified claims to rebate intermediaries and pharmaceutical manufacturers on a quarterly basis to obtain rebates
- Process rebate payments from rebate intermediaries &/or pharmaceutical manufacturers & distribute payments to client in accordance with the terms of their agreement
- Provide mutually agreed upon formulary & rebate reporting

Why choose PBIRx:
- Choice – Aggressive contractual positions for almost every formulary on the market; Unbiased formulary management
- Ongoing Optimization – PBIRx provides ongoing recommendations to maximize rebates through clinical programs, PAs, step therapies & formulary adjustments
- Expertise – Access to additional expertise; PBIRx provides additional clinical/formulary support & market intel
- Margin Enhancement Strategies – Proven strategies to capture incremental PBM profits