Virtual Pharmacy Trade Show:
Prescription Benefit Management Services / PBM Services & Consultants / Managed Care Companies

Making benefits smarter.
WellPoint NextRx is a progressive pharmacy benefit manager (PBM) helping health plans, employer groups and third party administrators target the reduction of total health care costs and improve health outcomes. Pharmacy benefits present unique challenges: breakthrough medications, increased utilization, an aging population. In the face of so many dynamics, WellPoint NextRx has smart solutions.

Total package.
NextRx provides all of the standard PBM services that clients expect. This includes claims processing, clinical and disease management programs, retail network, mail and specialty pharmacy, customer service, and rebate management. With roots that date back to the 1980’s, NextRx has years of experience in providing these fundamental services.

NextRx will help lead the industry into a new direction. How? By providing the products clients need to make their clients and members happy, healthy and well informed. And by helping members get the medicines, treatments and information they deserve.

Those looking to get more from their pharmacy benefits program – in dollars and in health – turn to WellPoint NextRx. Effective pharmacy programs. Lower net costs. Results all around.

1-800-451-0433
www.wellpointrx.com
www.anthemprescription.com

WellPoint NextRx is a Service Mark of WellPoint, Inc. Services are provided by a WellPoint PBM (either Professional Claim Services Inc., doing business as WellPoint Pharmacy Management, or Anthem Prescription Management, LLC, as appropriate). WellPoint NextRx is a division of WellPoint, Inc.

RXinsider.com is not only the leader in PBM / Managed Care Jobs Postings, but also pharmacist employment opportunities in every other practice setting as well (Nuclear, Long Term Care, Clinical, Hospital, Infusion, Staffing, Recruiters, PBM's, Management, Independents, Hospital, Non-Traditional & much more). RXinsider educates pharmacy professionals not only on specific job opportunities, but also on the R.Ph. employers as well as practice settings.

Advertise with RXinsider.com
RXinsider is also the place to advertise your open pharmacist job opportunities. Our programs range from a single "help-wanted" posting to annual programs with unlimited job postings. If your pharmacy is ever short staffed (Pharmacists or Pharmacy Technicians), please follow the link to learn more about our marketing services: Click Here

Emdeon - Solutions that Simplify the Business of Healthcare for Providers, Payers, and Channel Partners.

Emdeon provides revenue and payment cycle solutions that connect payers, providers and patients to integrate and automate key business and administrative functions throughout the patient encounter. Through the use of our comprehensive suite of products and services, our customers are able to:

• improve efficiency
• reduce costs
• increase cash flow

and more efficiently manage the complex revenue and payment cycle process.

Emdeon is a leading provider of prescription benefit administration solutions that enable managed care organizations, prescription benefit managers and other healthcare payers to improve claims processing efficiencies and better control prescription drug costs. Building on our decades of experience, we provide pharmacy claims adjudication, data warehousing and ancillary administrative services that enable our clients to improve claims processing efficiency, attain total financial transparency and better control, prescription drug costs. Our easy-to-use, Windows-based system streamlines implementation and maintenance of your Prescription Benefit Programs. And because an efficient Benefit Program requires more than just routine business intelligence, Emdeon SelectRx Insight offers you the timely, dynamic, and secure clinical and financial reporting that your business demands.

Emdeon provides the systems infrastructure as well the administrative support necessary to allow payers to effectively manage their prescription benefit program in-house. Emdeon’s award-winning, flexible claims processing system supports complex benefit designs, multiple networks, and client-owned contracts.

Just tell us what you need. Emdeon can tailor our services to provide as much assistance as your organization needs:

• Our core service is pharmacy claims adjudication and data reporting
• We can provide transparent call center support for member and pharmacy calls
• We encourage and assist our clients in negotiating their own Retail Pharmacy Networks and maintain a MAC list while we handle the network administration
• We encourage our clients to hold their own Drug Manufacturer Rebate Contracts while providing them with additional clinical support and the drug manufacturer contract management tool to reconcile rebates with the manufacturers.

Pharmacy Claims Adjudication - The state-of-the-art SelectRx system offers a cost-effective alternative to the task of operating and maintaining an in-house pharmacy claims adjudication system.

Includes:

• SelectRx Insight - Web-based, ad hoc reporting tool, SelectRx Insight, provides a clear window into the clinical and financial information pharmacy benefit managers must use on a daily basis.

Flexible, customizable add-ons

• Rebate Management - Provides a secure, web-based manufacturer rebate management system with exceptional decision support capabilities that calculates, invoices, and reconciles rebates electronically for all manufacturers
• Network Administration - Fully supports client-negotiated retail pharmacy network contracts, but also maintains our own nationwide network of participating NCPDP licensed pharmacies.
• Customer Service Call Centers - Tapping nearly 20 years of Pharmacy expertise, Emdeon offers health plans exceptional solutions for outsourcing pharmacy and member call support that can save money and provide transparent staff extensions.

To experience how simple managing your prescription business could be, contact an Emdeon professional today.

Medco is a leading pharmacy benefit manager (PBM) with the nation's largest mail order pharmacy operations. Medco assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide. Ensuring that millions of Americans have access to affordable, high quality prescription healthcare is more than our business - it's our calling.

Every day, our employees dedicate themselves to bringing:

• Better Care
• Better Value
• Better Service

When your health plan or employer chooses Medco for prescription benefit coverage, you can be confident you're receiving the best care and service available. But we don't just safeguard the quality of your prescriptions. We work hard to provide you with information to help make informed decisions about the cost of your medications and available alternatives for you and your healthcare provider to consider. This includes information about savings that may be offered through our mail-order service or about the use of clinically-appropriate generic drugs.

And we are a company that never stops trying to do it better. At Medco, good has never been good enough. We've always been at the forefront of the industry - in knowledge, innovation, technology, and in pioneering new products and services. You can count on us to continue to be a catalyst for positive change because, at Medco, we never stop trying to do it better.

PRAM was originally founded in 1989 as an Underwriter and a Registered Administrator with corporate headquarters located in the City of Brea in Orange, California and today has offices in Chicago and throughout the US. PRAM provides Pharmacy Consulting, Underwriting and Employee Benefit services to local, regional and national accounts.

Pharmacy Consulting Services

• Pharmacy benefit design support, backed by one of the most sophisticated predictive modeling systems available that ensures clients will know what to expect in terms of trend and enable them to budget accordingly.
• Operations and technical support experienced in managing and administering online pharmacy plans.
• Full Risk and Profit sharing programs for clients seeking fully insured options
• Specialty Pharmacy and Bio Tech programs
• PBM comparison studies to provide clients with information on which PBM really has the lowest net cost.
• PBM Audits

Underwriting Services
The following lists the types of fully insured pharmacy carve-out plans that PRAM underwrites currently:

• Employer Groups
• Seniors - Retirees
• Generic Only Products for Limited Benefit Programs
• Insured Programs sold with Medicare Supplement Programs
• Association Programs
• State and Local Government Programs
• Pure Fronting arrangements

We believe our experience in all aspects of Risk Management Consulting, including the understanding of Pharmacy Risk with the support of Staff Pharmacists will add value in providing strategic planning in a growing complex industry. Our goals are to help our clients understand and manage issues relating to medical and pharmacy claim cost while providing leading edge technology to analyze options that will have a positive impact on rising trends while balancing the needs of appropriate therapy.

PRAM's Underwriting Staff and Pharmacy team brings years of experience in working with many of the nations leading insurance companies, national consultants, pharmacy benefit managers, and employer groups. This experience is passed on to our clients to facilitate the decision making process and provide solutions to complex issues.

About Advanced Pharmacy Concepts

Advanced Pharmacy Concepts is a pharmacy consulting firm that was established in 1997 by Dr. Kimberly McDonough. A Pharm.D. by training, Kim has over 25 years of experience in the pharmacy industry. With a team of consultants having experience in hospital, managed care and pharmacy benefit management (PBM) settings, Advanced Pharmacy Concepts is focused on helping pharmacy payers get the most out of their pharmacy programs. Whether you are a managed care organization, hospital, employer, Taft-Hartley group or public-sector entity, Advanced Pharmacy Concepts can help you maximize the value of each pharmacy dollar.

Our services are specialized and focused on the direct needs our customers. We assess each client's needs as we initiate services and we serve as an advocate for our client. Because we work across the healthcare industry, we are in the unique position of knowing pharmacy-specific issues that our clients would otherwise overlook.

Take a brief look at a sample of our services below:

Physician Practice Management programs

Advanced Pharmacy Concepts offers programs to assist our physicians groups in their successful management of pharmacy risk arrangements. Our clinical programs focus on promoting the quality of care that patients receive while promoting profitability of the practice group. Over half of our staff are pharmacists, all of whom have, or will soon receive, an advanced degree (Pharm.D. or Masters). We take high quality patient care very seriously!

Managed Care Consulting Services

The staff of Advanced Pharmacy Concepts has a tremendous wealth of experience and expertise in the managed care field. We provide a wide array of services including drug information reviews, formulary preparation, benefit design, and P & T support. We also provide services to assist health plans in assessing the performance of their PBM, assuring that the pharmacy benefit is accurately administered and costs to the health plan are minimized. We can identify the hidden costs within your pharmacy program!

Quality Assurance Programs

Quality will be the focus on healthcare during the next decade and Advanced Pharmacy Concepts has programs to both measure and improve the quality of health care services. Our services include credentialing programs, HEDIS or other customized reporting, and satisfaction surveys. Our staff is Juran Institute trained and is knowledgeable in health care quality measures that are used by regulatory and accrediting agencies.

Pharmacy Network Services

Advanced Pharmacy Concepts provides services that allow pharmacies to implement financially successful pharmaceutical care programs. Whether your need is assistance in billing for non-dispensing services, credentialing of the programs that you currently offer, or expertise to establish a new program, Advanced Pharmacy Concepts can provide you with the solutions.

Medical Information Services

Whether you need simple answers regarding a new medication or comprehensive analysis of treatment options, Advanced Pharmacy Concepts can provide you with the information that you desire. We provide drug reviews, generate P & T monographs, research treatment guidelines, and generate comprehensive literature analysis for use in future research.

Who are we?

TIAS designs, builds and integrates automated equipment and major systems for Mail-Order, Central-Fill and Specialty Pharmacies. Using both proprietary equipment and field-tested automation provided by our key equipment partners, Tension provides automation solutions for both new and retro-fitted operations to:

* Increase capacity within same square footage
* Reduce staffing to address the national pharmacist shortage
* Lower your prescription fulfillment costs
* Provide a better, more efficient experience for your patients and stakeholders

Why Choose Us?

Tension International Automation Solutions brings automated solutions to your pharmacy that address your specific needs and requirements. Our reputation for tenacious pursuit of customer satisfaction assures you that our project management team will get the job done right, on-time and as promised. The proven technologies that we bring to market coupled with the strength and expertise of our team members allows us to take singular responsibility for the success of our installations.