Provider Network Strategy

Our proprietary Variable Fee Schedule allows us to reimburse physician offices for provider-administered drugs paid under the medical benefit by truly aligning interests for providers, payers, and patients. Plus, our solutions are flexible and customizable to meet your plan’s unique goals, taking into account your reimbursement strategy as well as ever-evolving market conditions:

Maximum Allowable Cost (MAC)
High Cost MAC
Average Sales Price (ASP) plus, Tier 1
ASP plus, Tier 2

Average Wholesale Price (AWP) minus %

The power of integration

Ask us how we can develop targeted solutions to optimize appropriate use, adherence, and cost management for high-cost specialty drugs on the medical benefit.