Full service. Innovative choices. Complete transparency.

As a full-service, transparent PBM, MedImpact delivers flexible choices to help you achieve the optimal balance between low net cost, high quality of care, and high member satisfaction.

Our programs and services include:

Administrative Operations

• Claims processing
• Formulary management
• Network contracting and administration (mail, retail, specialty fulfillment)
• Benefits plan administration
• Rebate contracting and management
• Medicare Part D – full service management

Service Support

• Implementation services team
• Client services team
• Call center (member and pharmacy call management)
• Consultative services

Clinical & Consultative Services

• Predictive modeling
• Medical/pharmacy data integration
• Trend analysis and reporting
• Member and physician outreach programs
• Prior Authorization and utilization management
• Value-based benefit design (VBBD)
• Preferred drug list (PDL)
• Rebate management
• Clinical edits/bundles
• Drug therapy management-specific to disease state
• Retrospective DUE-care quality programs
• Patient Safety Report Card
• Physician Access
• Drug safety monitoring

Online Reporting & Analytic Tools

• Clinical reporting
• Claims insight and management engine
• Predefined report views
• Ad hoc reporting and decision support tools
• Physician access to patient compliance
• Financial reporting