Pharmacy Benefit Management

Priority Care Solutions proficiently manage the complete pharmaceutical fulfillment lifecycle, from first fill to billing. Building on a strong foundation of processing and adjudicating retail and mail order pharmacy transactions, we leverage strategic pharmacy relationships, a strong technology infrastructure, and an extensive knowledge base.

Our process is built around providing convenience to the injured party as well as efficient, accurate and speedy prescription dispensing. With a network of over 52,000 retail pharmacies nationwide, patients have access to a pharmacy care close to home.

Every client has unique needs. Our focus on collaborative plan design allows clients flexibility to select the processing, clinical, billing, reporting and customer service parameters best suited for their business needs. Our team of pharmacy experts and structured implementation processes ensure your program is implemented effectively, on-time and as expected.

The PriorityPharma™ program successfully implements and manages our clients' retail and mail order pharmacy programs by providing:
  • Increased Network Penetration and Savings
  • Improved Utilization Management
  • Early Identification of Inappropriate Usage and Potential Abuse
  • Electronic Third Party Conversion Strategies
  • Expert Implementation and Customer Service Resources
  • Aggressive Unit Cost Management