A Pharmacy Benefits Manager (PBM) is a company/solution that specializes in the management of prescription benefits, focused on reducing unnecessary drug and medical costs while optimizing drug use to enhance health.

PBM capabilities include customizable hierarchy of operational, network, technical, financial, and clinical initiatives proven to reduce drug & medical costs while enhancing health care quality.

PBM Clients include private health insurance companies, government-run health insurance programs, Third Party Administrators for health insurance benefits, and employers that provide health insurance directly to their employees

A PBM proposes value to everyone, including:

Insured Members, by getting a better quality of healthcare services through more than 400 clinical checks on prescription drugs before dispensing.

Pharmacies benefit from a reduced rate of rejected claims due to the real time authorization functionalities of the system.

Physicians benefit from being able to make better decisions before prescribing to their patients through the e-prescription module.

Payers and third party administrators benefit from savings attributed to strict control on fraud and abuse and reduced administratve costs.

Regulators enhance quality of healthcare service through the system and assure compliance with renowned international standards.