Payors

Our goal is to eliminate the financial concerns of our payors, patients, and physicians’ offices.

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MedicoRx® Specialty Pharmacy has extensive experience in managing costs associated with medication delivery.  Our Prior Authorization Department and Billing Department were the innovators in the area of managing costs for our patients.  Our staff prides in their ability to assist the eligible patient in a time-sensitive, expedient, and efficient manner assuring that the continuity of care is not interrupted.  Our patients and medical partners can be assured that we will use our expertise and knowledge to make sure that eligible patients will continue to receive the necessary care that is affordable, safe, and timely.

Our goal is to eliminate the financial concerns of our payors, patients, and physicians’ offices, while continuing to provide the excellent quality of care that we are known for.

MedicoRx® Specialty Pharmacy has extensive knowledge and experience in both Pharmacy and Medical claims submission.  Servicing numerous MCOs in California as the Specialty and/or Home Infusion Pharmacy preferred provider, has allowed MedicoRx® Specialty Pharmacy to attain the expertise in mitigating the risks involved.

pills

Our Strategies

Implementation of clinical and utilization management programs to maximize patient outcomes and minimize the waste associated with specialty pharmaceuticals.
Employ clinical guidelines and criteria and implement prior authorization and closed formulary programs to ensure appropriate use.
Prior authorization services with criteria reviewed by practicing providers that follow evidence based guidelines.
Improve clinical management by assessing and intervening on adherence and persistency, patient care services, therapy and case management, and demonstrating improved outcomes.
Provide competitive unit pricing for specialty drugs and shifting place of service to most cost-effective, i.e. site of care (SOC) optimization.
Education of members on various subjects such as injection technique, adverse effects, the disease process, and how to achieve optimal results from therapy.
Support for patients through various non-profit foundations and organizations that we can help the patient locate and interact with thus lowering the costs to the responsible party.
Timely and accurate specialty drug reporting and analysis encompassing both pharmacy and medical benefit.
Conversion from infused drugs to self-administered drugs (injected or oral).
Close-formulary development and use.

On Call Pharmacist Available 24/7/365

For additional information about our Long Term Care Pharmacy
or to schedule an appointment with our pharmacy manager, please contact us today.