Rebate Management

Rebate Management

Our detailed, methodical approach to rebate management, incentive programs and understanding our clients’ needs is coupled with a highly flexible process of designing and executing programs that fulfill those needs. We offer industry-leading rebates to lower the cost of pharmaceutical drug spend for our clients in Long Term Care, group health, worker’s compensation, mental health, correctional, and hospice. Our experienced team of clinical and data analysts manage monthly submissions through our proprietary processing system.

Clinical Services

Clinical Services

Our staff of consulting pharmacists provide an array of services focused on your specific clinical needs. From drug utilization reviews to in-service training on specialized topics, Empirian Health can put our data-driven solutions to work for you.

Full-Service

Full-Service

Unlike a traditional PBM where spread pricing and opaque rebate contracts are hidden in a web of services, Empirian Health’s focus is comprehensive management of the entire pharmacy program. We focus on low cost generic alternatives while retrieving a rebate when a brand must be used. Our clinical program is driven by powerful analytics tools to improve pharmacy performance. Our goal is to empower organizations to lower pharmacy spend while improving overall care.

For a very small percentage of our overall spend, Empirian Health’s adjudication service has given us peace of mind that our pharmacy contract pricing is accurately applied, and we receive the rebates in circumstances where certain intransigent pharmacies have not been cooperative with the rebate program.
National Program COO
Adjudication

Adjudication

Managing your pharmacy costs on your own is a monumental task. We support real time claims adjudication to prevent out-of-parameter billing. Our reporting and analytics generate actionable data so you can take the necessary steps to reel in out-of-pocket costs. Our services are personalized to each of our client's needs.

Bill Review

Bill Review

Ex-post pharmacy bill review and audit services ensure clients are taking advantage of all cost saving opportunities. Pharmacies are more often focused on dispensing medications accurately rather than managing to a lower net prescription drug cost. We help you find the anomalies and request the necessary credits and parameter changes.

Let's Talk

Put us to work for you. We’ll navigate the process, manage your program and make sure you get the maximum benefits. Get in touch with us today!