Clinical Services
Quality Services That Protect Your Investment
Nowadays, increased drug spend and utilization of high-cost specialty medications are creating the need to deliver comprehensive, high-quality, and cost-effective healthcare services.
MC-Rx's main objective is to implement aggressive, clinical-based utilization management programs and strategies for patients' well-being and the rational use of medications.
MC-Rx's outstanding characteristic is its continuous client support through unique programs and services to achieve the following:
- Patient engagement to make better health decisions and maximize the use of their benefits
- Supporting healthcare providers through evidence-based care support and improving patient adherence to their treatment plan
- Partnering with specialty pharmacies to support patient safety, reduce errors, and improve the quality of life of patients
- Focusing on clinical outcomes, their corresponding economic savings, and value-based pricing
- Negotiating rebates and discounts from drug manufacturers and pharmacies
- Leveraging competition to reduce the cost of specialty medications and improve adherence
- Encouraging the use of generics and more cost-effective brand medications
Services and Programs
- Formulary Management Services through a P&T Committee
- Value-Based Pricing Formularies
- Clinical Quality Assurance Program
- Management Program
- Drug Utilization Review Program
- Specialty Medication Management Program
- Opioid Management Program
- Adherence to Medications Program
- Medication Therapy Management Program (MTMP)
- Academic Detailing and Education Program for Physicians
- Pharmacy Transition of Care Program
- Over-the-Counter (OTC) Management Programs
- Benefit Design and Set Up Support
- Appeals Process
- Pharmacy Education Program
- Prior Authorization Program through e-PA
- Daily Claims Monitoring Program
- Medical Prescription Drugs Program