Medicaid Pharmacy Management

With mounting pressure to implement and manage a successful pharmacy assistance program, how do you balance your population’s health with their pharmacy needs? How do you better serve members while controlling costs? We can help.

For state Medicaid programs, double-digit prescription drug cost increases, changing federal requirements, strapped state Medicaid budgets and increasingly complex processes push organizations to their limits.

For more than 30 years, Conduent has served the needs of state-sponsored pharmacy programs, providing pharmacy claims processing, drug rebates, DUR and clinical services for 12 government health accounts, including nine Medicaid agencies. Many of our pharmacy contracts span decades of service and consecutive contract awards. Our experience with Medicaid agencies allows us to plan for otherwise unexpected contingencies.

From single program support to comprehensive pharmacy benefit management systems, we scale to meet your program’s goals while helping to control your costs. Built by Medicaid experts for Medicaid experts, we continually invest in our people, services, solutions, and technology to support Medicaid, CHIP, and other government healthcare programs.

A trusted leader and pioneer in Medicaid Pharmacy Benefit Management

Since 1982, Conduent has been a leader in processing pharmacy claims for Medicaid, pioneering Point of Sale processing in 1992. We have continually evolved our systems and services, including pioneering pharmacy clinical services. Our recent CMS certifications for Maryland (2024), North Dakota (2019), and Montana (2017) highlight our commitment to excellence. We ensure independence from external influences and provide transparency as a publicly traded company.