Our products & services

RxParadigm offers a range of solutions that enable its clients to compete more effectively.

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.
Cost management
  • Zero rebate dollars to be retained by RxParadigm
  • High quality and efficient formularies aimed at driving down net cost via rebate negotiations and clinical management
  • Innovative national value-based pharmacy network with preferred pharmacies, utilizing leading clinical interventions to improve member experience and outcomes
  • Enhanced pay-for-performance (P4P) options
Technology
  • A modern and flexible claims processing technology built to meet all CMS requirements
  • Blockchain-based rebate management system providing first-of-its-generation transparency, which is able to administer point-of-sale rebates to meet 2022 CMS requirements
  • AI-driven utilization management programs automate decision making to streamline operational efficiency
Quality services
  • Medication adherence technology and service
  • Patient payment support accessed at point-of-sale
  • Value-based and outcome-driven payment arrangements
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