Chronic Care Management Support

Chronic Care Management provides ongoing support, care coordination, and medication oversight for patients with chronic conditions.

Coverage Determinations

SevaRx Coverage Determinations review medication requests to ensure they meet plan criteria for safety, efficacy, and medical necessity.

Drug Utilization Reviews (DUR)

Drug Utilization Review ensures safe, effective, and appropriate medication use through real-time and retrospective claim analysis.

Formulary Management

SevaRx formulary management optimizes drug selection for safety, efficacy, and cost-effectiveness to support quality patient care.

High-Risk Medication Management

High-Risk Medication Management enhances patient safety with monitoring, counseling, and coordination for complex or high-risk therapies.

Medication Adherence Programs

Medication Adherence Program helps patients stay on track with their prescriptions through reminders, education, and personalized support.

Medication Therapy Management

Medication Therapy Management optimizes treatment through comprehensive medication reviews, patient counseling, and care coordination.

Opioid Overutilization & Safety

SevaRx opioid overutilization and safety edits protect patients by monitoring use, preventing misuse, and promoting safe pain management.

Pharmacovigilance & Safety

Pharmacovigilance and Safety Surveillance monitors, detects, and manages medication risks to ensure patient safety and regulatory compliance.

Price & Cost Guarantee

Price and Cost Guarantee ensures transparent, predictable medication pricing, helping patients access therapies affordably and confidently.

Quality Improvement Programs

Quality Improvement Programs enhance patient care by monitoring outcomes, optimizing therapies, and implementing evidence-based best practices.

Specialty Drug Management

Specialty Drug Management ensures safe, effective, and cost-efficient use of high-cost, complex medications through monitoring and support.

Transition of Care Programs

Transition of Care Program ensures smooth patient care during hospital or facility changes with medication review, coordination, and follow-up.

Claims Adjudication

Claims Adjudication accurately processes pharmacy claims, ensuring timely payment, coverage verification, and compliance with plan rules.

Dedicated Pricing

Dedicated Pricing offers customized, transparent medication pricing to optimize affordability and value for patients and healthcare partners.

340B Management

340B Management helps covered entities optimize savings, ensure compliance, and manage access to discounted medications for eligible patients.

NADAC Pricing

NADAC Pricing ensures prescription costs align with federal average acquisition standards, promoting transparency and fair drug pricing.

MAC Pricing

MAC Pricing sets transparent, cost-effective reimbursement for multisource drugs, helping manage pharmacy expenses and ensure fair pricing.

Medicare Part D Expertise

Medicare Part D Expertise guides plans and patients with compliance, coverage, and cost management for optimized prescription benefits.

Premium Savings & Cost Reduction

Premium Savings & Rx Cost Reductions lower medication and plan expenses through strategic pricing, discounts, and cost-management solutions.

Specialty Drug Solutions

Specialty Drug Solutions manage complex, high-cost medications with personalized support, monitoring, and cost-effective therapy guidance.

Specialty Formulary Solutions

Specialty Formulary Solutions optimize access, coverage, and cost-effectiveness of specialty medications through tailored formulary management.

TPA – Agnostic PBM

TPA-Agnostic PBM delivers flexible pharmacy benefits management, seamlessly integrating with any third-party administrator for optimal care.

White Glove Concierge Service

White Glove Concierge Service provides personalized support, guiding patients through medication access, coordination, and seamless care.