A contractual issue with the previous vendor required PharmPix to implement their pharmacy benefits over a weekend. Accurate and complete eligibility data was lacking.
How We Fixed It:
PharmPix worked with the eligibility data that was available and built a customized eligibility tool, made an eligibility call center available with access to the eligibility tool to correct inaccurate eligibility data, and came up with a communication strategy with providers to make them aware of the sudden change of PBM. We effectively used our Power Copy tool and enhanced their platform capabilities.
Our client was very happy with their new accurate benefit design and formulary management. PharmPix successfully transitioned all its members in just one and a half weeks.