RxAllow

Reduce Med D non-covered costs

RxAllow is PharMerica’s service for recapturing denied Medicare Part D prescriptions. Our team of experts aggressively manage and follow up with physicians and payors for Therapeutic Interchanges and Authorizations to recapture non-covered costs.  RxAllow delivers over 66% recapture rate for Part D denials and significantly impacts non-covered costs per resident.

PharMerica’s RxAllow process enables you to maximize Med D prescription coverage while minimizing denials.  PharMerica is in the best position to drive approvals and recapture previously denied claims.  We will deliver daily and weekly action reports that show up to the minute status on non-covered claims, along with any required action from the facility.

A Proven Service

  • Recapture denials for emergency and transitional fills as well.
  • Outreach to facility and prescriber to obtain quick approvals.
  • Actively follows up on denied claims.

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Part D Plan Alerts

Medicare Part D residents can change plans for optimal coverage

Did you know that if one of your Medicare Part D residents has medication needs that conflict with the formulary choices of their current Part D plan they can exercise their right to change Part D plans to get the medications they need?

Resident-specific notices that identify alternate Med D plans that offer better coverage and lesser restrictions – proactively minimizing denials for non-covered charges.  PharMerica’s Plan Alert Program is designed to keep your residents aware of all their Part D plan choices.

Part D Plan Alert will help reduce non-covered charges and compare specific Medicare Part D drug formulary coverage among plans.  Plan Alert will identify up to three alternate Medicare Part D plans that provide optimal coverage for each individual resident. The resident will have the information needed to contact the alternate plans to inquire about coverage and enrollment.

  • Helps reduce non-covered charges.
  • Compares specific Medicare Part D drug formulary coverage among plans.
  • Individualized to the specific resident, making it perfect for consultation with the family or physician.
  • Schedule report via email or fax and receive weekly or monthly.

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