PBM Solutions

MedImpact Healthcare Systems, Inc. is the nation’s largest privately held pharmacy benefit management (PBM) company, serving health plans, self-funded employers and government entities. Our innovation is demonstrated by multiple patents and unique services not offered by other PBMs. Our number one goal is client satisfaction by offering flexibility for clients and consumer-driven products with a focus on lowest net cost and quality outcomes.

Claims Processing
MedImpact's real-time, web-based eligibility and claims management system gives clients the convenience of desktop access to benefit management.

Manufacturer Contract Management
MedImpact offers full disclosure with rebate administration. We aim to remove the barriers many PBMs set up between clients and pharmaceutical companies.

Retail/Mail Network Management
MedImpact works with clients to develop the optimal channel management strategy for retail, mail-order and specialty dispensing.

Specialty Management
Our innovative management strategies address the complex treatment and high cost of specialty drugs.

Cost, Quality and Outcomes Management
MedImpact's clinical strategy focuses on providing clients services that align with key elements of the Institute for Healthcare Improvement's (IHI) Triple Aim: improving the patient experience of care; improving the health of populations; and reducing the per capita cost of healthcare. At the core of these aims are solutions delivering value-based services to measurably improve patient health.