Government Solutions Government Healthcare Solutions

Pharmacy Benefit Management Solutions

Smart solutions. Lower costs. Improved care.

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.

Pain-without-Opioids

Managing Pain without Opioids

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The pressures are real: Double-digit drug cost growth rates. Changing federal requirements. Strapped state Medicaid budgets. Increasingly complex processes.

Luckily, Conduent can help you develop and implement automated, streamlined processes for any part of your pharmacy benefit program. From single program support to comprehensive pharmacy benefit management systems, we scale to meet your program’s goals while controlling your costs.

We currently deliver cost-efficient results to 28 programs in 21 states and the District of Columbia. Our PBM solutions scale to serve the needs of state government healthcare and other programs.  Our services include:

  • e-Prescribing and ProDUR programs
  • Pharmacy claims processing
  • Automated Prior Authorization (PA) systems
  • RetroDUR and prescriber education programs
  • Drug rebate administration

We also build on our pharmacy benefit management experience with pharmaceutical research. Our clinical pharmacists evaluate therapies and prescribing patterns to help programs understand trends, uncover gaps in care and prepare for future needs. You can learn more on the Clinical Pharmacy Research Services page.

Pharmacy Benefit Management View Brochure Drug Utilization Review View Brochure Uptake of Hemlibra® in the MO HealthNet and Impact on Medical and Pharmacy Cost and Utilization View Report Migraine Rescue and Preventive Therapy Utilization View Brochure Opioid Overdose Incidence among Medicaid Members Receiving Opioids with and without Mental Illness Diagnosis View Report Targeting Opioid Abuse and Overutilization View Case Study e-Prescribing View Brochure Conduent™ SmartPA Pharmacy Application View Brochure Conduent™ SmartPA Medical Application View Brochure Non-Emergency Medical Travel Automated Authorization View Brochure Medication Therapy Management View Brochure Automated Pharmacy Claims Processing View Brochure Drug Rebate Administration View Brochure Clinical Call Center Management View Brochure Automated Risk Identification View Brochure Audit and Compliance Solutions View Brochure Pharmacy Reporting and Analytics View Brochure Specialty Provider Audits View Brochure Medication Therapy Management Implementation View Whitepaper