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For TPAs

Strengthen Plan Performance and
Drive Savings

Prescription Benefit Point Solutions for TPAs

Prescription drug costs are a top concern for all plan sponsors. In 2023, prescription drug spending increased by 13.6% from 2022 to a record $722.5 billion with an additional 10% to 12% increase in 2024. ELMCRx focuses on innovation in prescription drug management with cost-effective solutions.

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Exceptional Rx Claims Analysis

In addition to gaining insight into a group’s claims data, our team of in-house experts helps identify areas of the program that will deliver savings now and in the future.

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Enhanced Group Insights

By closely monitoring utilization, drug inflation, discounts, intensity, and more, our TPA partners can focus their resources on the biggest problems clients may face.

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Elevated Client Management

Leverage real-time claims audits, in-house clinical oversight, and scalable PBA tools to improve responsiveness, accuracy, and pharmacy benefit performance.

Are You Enhancing Plan Performance
& Upholding Fiduciary Responsibilities?

Plan performance is only as strong as the solutions, data, and teams supporting it. To fulfill your fiduciary duties to your clients, it’s essential to have a knowledgeable partner at your side. With guidance from ELMCRx, your clients’ challenges are resolved with focus and excellence, from routine prior authorizations to ongoing clinical services support.

PBA Design and Support

Build custom pharmacy benefits programs incorporating transparency and cost control. In partnership with Capital Rx’s JUDI® platform, we help TPAs and Captives streamline administration, simplify pricing, and enhance plan efficiency.

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PBA Design and Support

Build custom pharmacy benefits programs incorporating transparency and cost control. In partnership with Capital Rx’s JUDI® platform, we help TPAs and Captives streamline administration, simplify pricing, and enhance plan efficiency.

Payment Integrity & Claims
Monitoring Solutions

Ensure every pharmacy dollar is accounted for with rigorous claims auditing and analytics. Our solutions help TPAs identify waste and provide comprehensive reporting, supporting fiduciary responsibility and driving cost efficiency.

PBM and Clinical Management Solutions

Control pharmacy costs with proven specialty and non-specialty drug programs, including GLP-1 management, rigorous prior authorizations, and cost-effective alternatives to review and optimize pharmacy spend.

Access to Industry-Leading Partners

We’ve partnered with a wide variety of cost-containment and pharmacy benefit management solutions providers.

Take Your Clients’ Prescription Benefits a Step Further

Find out how our team of experts can help you provide better support.

Contact ELMCRx