SOURCE: PHARMPIX
A “virtual” full service PBM with an adaptable business model for different pharmacy delivery solutions. Establish a deeper connection with your beneficiaries and providers and save along the way.
PharmPix offers an innovative technology platform that effectively allows you to manage your pharmacy benefit costs: the OneArk™ Suite.
Our technology serves the ever-changing needs of health insurance industry professionals. It also helps you grow a deeper connection to your beneficiaries and providers.
PharmPix serves health plans, PBMs and other plan sponsors who manage Medicare, Medicaid, commercial, hospice and workers compensation business. The company is privately held, founded in 2009 as a corporation, and is currently doing business in all 50 U.S. states and territories. The company’s claims processing is hosted in a secure, highly specialized facility located in Las Vegas, Nevada.
The OneArk™ System Suite is the backbone of our services. It offers:
- Real-time claims adjudication with point-of-sale eligibility validation, online safety, as well as managed care editing and coordination of benefits capabilities
- Detailed claims reporting
- User-friendly Member/Employee portal for retail pharmacy availability, formulary information and access to co-pay/plan design information
Retail pharmacy contracting R30 & R90 fills, pharmacy call center and pharmacy audits - Medication Therapy Management (MTM) capability at point of sale with business rules processing engine (BRPS) for push notification via email and text messages
- Mail service options
- Specialty pharmacy options
- Prior Authorization (both systemic & live clinical professionals)
- Clinical program consulting, and Retrospective and Concurrent Drug Utilization Review (DUR)
- Pharmacy and Therapeutics (P&T) Services
- Manufacturer Rebate Management
