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Flexible Solutions for your Business Challenges

Offering a multitude of PBM products that allow clients to customize their pharmacy benefits by selecting the services they need to lower their overall costs.

Partnering with RxParadigm ensures total alignment with clients’ business objectives.

Value based
The high cost of the new generation of gene and orphan drug therapies opens new avenues of exposure and risk for payers. RxParadigm offers an alternative financing tool that spreads out payer exposure over time, while enhancing patient outcomes.
At-Risk PBM Solution
  • At-Risk PBM Solution that fully guarantees pharmacy spend even if spend exceeds projection
  • Holistic approach that enables payers to clearly remain within their projected budget
  • Control costs without having to shift the financial burden to employees/members
  • Clients can select their PBM based on extreme transparency and optimal outcomes

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Blockchain-Powered Rebate Management System
  • RxParadigm introduces the industry’s most advanced rebate management technology
  • Accurately and efficiently administer Rebate-eligible claims utilizing robust exclusion logic
  • Effectively solves the 340B duplicate discounting challenge
  • Eliminates the need for expensive audits and claw backs
  • Designed to provide extreme transparency for all users
  • Tool designed for standalone use by both payers/PBMs and pharmaceutical manufacturers

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Stand Alone Services/Products

REBATE CONTRACTING AND ADMINISTRATION

GENE THERAPY FLEX FINANCING
RxParadigm provides Flex Financing. This helps clients reduce their exposure and risk to high-cost gene and orphan drug therapies.

AI-POWERED PRIOR AUTHORIZATION

  • A service that optimizes utilization management tools which enhance member experience.
  • Reduces unnecessary administrative burdens, time and resources for providers.

CHRONIC DISEASE DRUG MANAGEMENT SERVICES
Designed to deliver enhanced patient care including at Point-of-Sale (POS) using chronic disease drug management programs to provide cost-effective solutions and avoid expensive complications.

CAPACITY BUILDUP
As part of our service offerings, we also build a full-fledged PBM product that allows a client to fully or partially buildup their pharmacy management capabilities.

 

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