About us

Our clinical pharmacy staff understand the needs of medical offices and patients. With years of experience working within Pharmacy Benefit Managers and insurance companies, our clinical team is more than equipped to handle anything coverage determination request. Utilization management for pharmacy claims takes on many forms. Key to obtaining approvals is understanding what information PBM’s are looking for to grant approvals. Our staff reies on their experience to glean the necessary information from the patient record to obtain approvals. More information to the PBM is not always better. Additional information may inadvertently lead to a denial.