State Pharmaceutical Assistance Programs (SPAPs)

We provide our comprehensive pharmacy benefit management solution to State Pharmaceutical Assistance Programs (SPAPs) as well as county government health programs.

We have over 30 years of experience providing pharmacy benefit management to senior drug programs. We began SPAP administration with our first contract with the Pennsylvania Pharmaceutical Assistance Contract for the Elderly (PACE) and have provided similar services to the New York Elderly Pharmaceutical Insurance Contract (EPIC) Program.

Our services include:

  • Pharmacy POS Claims Processing
  • Enrollment and Eligibility Verification
  • POS ProDUR Edits and Drug Monitoring
  • Formulary Management
  • Medical Exceptions
  • Provider Payments
  • Program Manufacturer Rebate Administration
  • Reporting and Analysis
  • Clinical Consulting
  • Cardholder/Provider Services
  • Help Desk
  • Lock-in Programs
  • ADAP Administration (for PACE Program).