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PBM & Clinical Management Solutions

Intelligent Prescription Drug & Clinical Management

ELMCRx’s prior authorization (PA) services are key to our PBM & Clinical Management Solutions, combining advanced analytics, rigorous oversight, and strategic partnerships to manage high-cost therapies efficiently.

Clinical Precision Meets Cost Containment

ELMCRx optimizes patient outcomes by managing high-cost medications through our specialty and non-specialty drug programs, with a strong focus on GLP-1 treatments for diabetes and obesity.

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Specialty Drug Oversight

Protecting health plans from high-cost specialty claims through robust prior authorization protocols and clinical interventions.

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Non-Specialty Cost Containment

Managing adherence, therapeutic alternatives, and cost-effective options for non-specialty drugs to reduce unnecessary expenditures.

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GLP-1 and Weight Management Programs

Controlling costs of GLP-1 and weight management therapies through step therapy, biannual reviews, review of medical records, and adherence to FDA guidelines.

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Medical Infusion Optimization

Shifting high-cost infusion therapies to more cost-effective sites of care, including home-based or outpatient options.

Discover how ELMCRx’s tailored PBM & Clinical Management solutions can streamline costs and enhance outcomes for your plan.

Stronger Oversight. Smarter Savings.

Our PBM & Clinical Management Solutions deliver proactive cost control and expert oversight, ensuring best clinical and financial outcomes.

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Real-Time Intervention

Immediate review and approval processes ensure that high-cost therapies are managed before they escalate into claims.

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Transparent Savings

Our tools provide clear metrics on cost savings achieved through clinical oversight and optimized therapy management.

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Improved Outcomes

By focusing on adherence and effectiveness, we enhance patient health while reducing unnecessary plan costs.

Building Stronger Cost and Care Management

Our partner network enhances the impact of our prior authorization solutions by integrating cutting-edge tools and expertise.

Why Choose ELMCRx?

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Integrated Solutions

Our prior authorization services are built by clinical professionals with deep knowledge of medications and PBM programs.

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Immediate Intervention

Managing drug costs from the time of prescription provides the best opportunity for ensuring proactive cost management.

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Partnership-Driven Impact

With key collaborators, we ensure our clients always have access to the best tools and insights.

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Scalable and Customizable

Tailored services that adapt to the unique needs of every organization.

ELMCRx’s PBM & Clinical Management solutions can drive cost savings, optimize member outcomes, and support your plan’s financial goals.