Pharmacy Services: Pharmacy Benefit Services Administration
GHS sets the bar for excellence when it comes to providing Pharmacy Benefit Services Administration and related services to state Medicaid programs. We offer states a unique combination of clinical and technical expertise, in depth knowledge, and decades of experience to help manage their drug programs. Do you want to lower costs? This is our specialty. Do you want to balance cost-savings and provider and client convenience? We recognize that YOU are the customer and we will work to meet your objectives. This PARTNERSHIP translates to a win-win for states and members, who benefit from improved quality of care, appropriate drug utilization, fewer medication errors, and maximum cost containment.
Our integrated team of physicians, pharmacists, developers, and data analysts works with clients to achieve clinical goals and objectives. We design, implement, and manage comprehensive, flexible, and scalable programs that break the mold in terms of innovation and customization, at highly competitive prices.
We provide a breadth of Medicaid Pharmacy Benefit Services, including these core offerings:
- Pharmacy Point of Sale (POS) claims
- Pro-Drug Utilization Review and Retrospective DUR
- Preferred Drug List development (PDL)
- Supplemental Rebate negotiations, including Multi-State Rebate Pooling
- Rebate Services and Administration (eREBS)
- Pharmacy Prior Authorizations
- Therapeutic/Drug Class Reviews and Monographs
- Decision Support Systems (DSS)
- Customized Data Cubes/Data Marts
- Prescription Drug Monitoring Programs (for all Controlled Substances)
- Psychiatric Services