A Health System-Centric PBM Solution.
Eliminate conflict of interest and seize control from PBMs to better serve your patients and plan members.
Anchored in our nationwide network of leading health systems, Excelera’s pharmacy benefit management solution is a health system-centric PBM Solution, which prioritizes patient outcomes over profits. By aligning with the best interests of health systems, our unique PBM Solution provides health systems with secure control of formulary, clinical protocols and pharmacy networks to drive the lowest net cost for clinically appropriate therapies.
Read about our PBM Solution
Benefits of Using a Health System-Centric PBM
- Competitive Contract
- Clinical & Strategic Account Management
- Pharmacy /Medical Integrated Drug Management
- Rebate Transparency
- Network Control
- Utilization Management
- Formulary Control
- Direct-to-Consumer Engagement
- Strategic Partnership
Clinical integration & control
Allows health systems to control and manage utilization, formulary, clinical protocols and pharmacy network selection to support the unique needs of individual patients and populations.
Transparency
By removing the incentive misalignment associated with traditional PBM pricing and providing transparency around manufacturer rebates, health systems can be sure they are driving the lowest net cost for clinically appropriate therapies.
Cost control
Provides cost savings through formulary control (e.g. high cost, highly-rebated drugs) and utilization management, including decreased utilization of inappropriate therapies (e.g. step therapy, quantity limits, prior authorization criteria).
Realize Savings
Reduce pharmacy & medical costs up to 30%
Speed to Market
Plug-and-play options for rapid ROI
Greater Control
Access formulary clinical protocols pricing
FULL TRANSPARENCY
Include your specialty, retail and 340B pharmacies
White Paper
Integrated Health Systems Can Leverage Their Strengths to Offer an Alternative to Traditional Pharmacy Benefit Management
This white paper provides a brief history of PBMs, describes what’s broken in the PBM industry, notes that the strengths of health systems support a realigned PBM model, and advises partnering with an outside resource when launching an integrated PBM.
- The PBM industry has consolidated into a handful of misaligned and dominant players.
- Consolidation has reduced competition and driven up prices.
- Health systems can leverage their unique strengths to create a better PBM model.
Contact Us
For more information about Excelera and the Excelera Network, submit the form below or contact us at (612) 293-0378.
