Man looking at a bottle of medicine

PBM

Optimize and customize every facet of plan management and claims processing

Cervey’s PBM offering includes a next-gen plan management and claims processing solution that enables self-funded employer groups and pharmacy benefit managers (PBM’s) to efficiently design, manage, and process prescription benefits.

This highly customizable solution puts you in control of all facets of drug claims. Make the solution your own using a flexible rules engine that’s built to easily accommodate numerous variables in your plan design and support multiple types of copays, deductibles, out-of-pocket amounts (OOP), coordination of benefits (COBs) and subrogation.

Access claims in real time

with no need for costly software or licensing, using our secure, reliable systems.

Specify your unique parameters

for formularies, prescription pricing, rebates, network pharmacies and other facets of a well-managed benefits plan.

Build and manage formularies

in both standard and custom formats, aggregating medications from multiple pharma providers while providing pharma claims data needed for appropriate rebates.

Categorize medications

into different tiering, pricing and reimbursement structures — including discounts and rebates — based on different client-developed formulas, by using the solution’s built-in dynamic algorithm generation.

Customize pricing

based on MAC and other methodologies that you can modify according to your business model and needs.

Capture savings

using the system’s built-in rebate engine, and pass those savings on to your customers.

Benefit from Cervey’s knowledge

of the entire pharmacy, PBM and MBM universe.

Want to learn more? Contact Us