Clinical Pharmacy Services
As oversight intensifies, clinical integrity is more essential than ever. We partner with purpose-driven organizations to shape independent, evidence-based drug coverage strategies that advance equitable, accessible care.
What Challenges You
Organizations supporting the pharmacy benefit face growing pressure to demonstrate transparency and accountability in how coverage decisions are made.
In an evolving market, employers and consumers are intensifying efforts to rein in drug costs, while safeguarding patient access to effective therapies.
As AI and automation accelerate, the pharmacy benefit model must balance efficiency gains with preserving pharmacist-led clinical intelligence.
With high-cost and specialty drugs continuing to enter the market, ensuring medication adherence is more critical than ever.
How We Can Help
We bring decades of independent, evidence-based pharmacotherapy expertise underpinned by academic rigor and integrity.
- Clinical Intelligence— We deliver guidelines and information to enhance decision-making:
- New Drug Reviews—Proactive reviews of all FDA approvals, label expansions, and safety alerts, including recommending drug coverage strategies.
- Therapeutic Class Reviews—Annually updated therapy class reviews, comparing effectiveness and safety, offered through on-demand services and subscriptions.
- Clinical Criteria—Systematically maintained comprehensive clinical guideline library, representing every therapeutic class, fully customizable to our client’s formulary management philosophy and approach.
- Prior Authorization Clinical Review—Independent, clinically validated determinations, supported by seasoned clinicians with decades of expertise.
- Patient Engagement—Patient-centered outreach, conducted by dedicated clinical associates, supporting medication adherence, persistence, and appropriate therapy.
Why Choose Us
We deliver clinically grounded solutions that strengthen decision-making, drive operational efficiency and enhance patient engagement.
- Pharmacist-Led Expertise: A tenured team applying seasoned judgement to complex coverage decisions, ensuring quality, consistency and a patient-centered approach.
- Evidence-Based Rigor: Independent therapeutic assessments, structured new drug evaluations and continuously updated prior authorization criteria aligned with the latest clinical evidence and nationally guidelines.
- Flexible, Scalable Operations: Customizable, white-label-ready programs, ensuring consistency across diverse client platforms and operating models.
Our Impact
Maximizing pharmacy benefit access and outcomes, controlling costs
Clinical Intelligence at Scale
Proactive formulary management supported by 170+ annually updated therapeutic class reviews, available through on-demand and subscription models, including a comprehensive library of 220+ evidence-based guidelines, tailored to each client’s philosophy.
Proven Operational Performance
More than 1.3 million independent, clinically validated determinations, consistently meeting CMS and client turnaround-time requirements, delivered on your platform or ours.
Patient-Centered Engagement
Clinician-led outreach supporting medication adherence, persistence and appropriate therapy use, achieving a 62% connection rate and 61% member option approval rate.