Business Details
33 Years
experience
Your Trusted Pharmacy Benefit Consultant in Milford, CT
At PBIRx, we specialize in pharmacy benefit intelligence, leveraging 25 years of industry expertise to deliver actionable insights for our clients. Our proprietary technology, including the AuditRx platform, empowers us to audit, model, and measure pharmacy benefit spend with precision, ensuring maximum savings and transparency. We pride ourselves on being a true client advocate, demystifying complex pharmacy benefit plans and negotiating contracts that align with our clients' unique needs. Our team of actuaries, analysts, and clinical pharmacists works tirelessly to identify hidden fees, optimize rebates, and implement strategies that reduce costs while enhancing member outcomes.Recognized for excellence in the pharmacy benefit industry, we maintain SOC2 certification and uphold rigorous compliance standards. Our executive leadership fosters a culture of innovation and client-centric service, attracting top talent dedicated to transforming pharmacy benefit management. With a legacy of advocacy since 1993, we remain committed to empowering clients with data-driven solutions and unwavering support.
Services
Pharmacy Benefit Consulting
AuditRx Auditing
Rebate Aggregation
International Prescriptions
340B Compliance Audits
Details
- Year established: 1993
Highlights and features
- We have 25 years of experience in pharmacy benefit consulting and auditing.
- Our proprietary AuditRx platform ensures precise claims auditing and financial recoveries.
- We guarantee transparent reporting and tailored recommendations for every client.
- Our team includes certified actuaries, clinical pharmacists, and compliance experts.
- We are SOC2 certified with a proven track record of saving clients millions annually.
Associations and certifications
- SOC2
What people say
Exceptional service
Substantial cost savings
Personalized service
Transparent reporting
Commitment to education
Services
Pharmacy Benefit Consulting
PBIRx analyzes prescription contracts and utilization to identify savings opportunities and negotiate enhanced benefits. Our data-driven approach ensures lower costs and better health outcomes for plan members. With decades of experience, we provide tailored strategies that align with clients' financial and operational goals.
AuditRx Auditing
Our proprietary AuditRx platform conducts comprehensive claims audits to hold PBMs accountable and recover overpayments. By leveraging advanced analytics, we ensure financial transparency and compliance with contract terms. This service has delivered millions in savings for clients nationwide.
Rebate Aggregation
PBIRx consolidates rebates from multiple sources to maximize returns for health plans and PBMs. Our expertise in rebate aggregation ensures clients receive full value from pharmaceutical manufacturers. This service has achieved 10x ROI for some clients.
340B Compliance Audits
We perform independent 340B audits to prepare covered entities for HRSA reviews. Our team identifies compliance gaps and mitigates risks through actionable reports. This service ensures adherence to federal regulations while optimizing savings.
International Prescription Services
PBIRx offers cost-effective international prescription programs that reduce out-of-pocket expenses for members. By partnering with global networks, we provide access to affordable medications while maintaining quality standards. This service has delivered significant savings for employers and unions.
Questions
What services does PBIRx offer?
PBIRx provides pharmacy benefit auditing, rebate aggregation, compliance audits, and consulting to reduce healthcare costs.
Who are PBIRx's clients?
We serve self-funded employers, Taft-Hartley groups, PBMs, hospitals, and third-party administrators.
How does PBIRx save clients money?
We identify hidden fees, negotiate contracts, and use proprietary technology to optimize rebates and reduce pharmacy costs.
What makes PBIRx unique?
Our SOC2-certified team combines clinical expertise with data analytics to deliver tailored, transparent solutions.
Is PBIRx available for a free evaluation?
Yes, contact us for a free evaluation to assess your pharmacy benefit plan's savings potential.
