Pharmacy Services

INTEGRATED PHARMACY SERVICES WITH A VALUE-BASED MODEL OF CARE

Evolent Pharmacy couples clear visibility into the therapeutic needs of your population with highly specified cost and clinical understanding. Our model drives low unit and administrative costs, optimal plan design, and improved therapeutic efficacy through data-driven coordination of care.

MANAGE COSTS WITHOUT SACRIFICING OUTCOMES

Control Your Costs

By leveraging our expertise, best practices, national scale and analytics built to leverage your pharmacy assets to the fullest extent

Simplify Complex Decisions

By integrating pharmacy and medical data into a single, longitudinal patient view and using insights across the care team to inform utilization decisions from a single source of truth

Reduce Inappropriate Utilization

Through benefit design, process and system support that motivates, manages and optimizes proper utilization across your network

Mitigate Exposure

Through our predictive analytics that look prospectively at your potential high-cost and high-risk areas so you can proactively engage providers and patients and make informed decisions earlier 

OUR OFFERING

Pharmacy Benefits Management

Our deep pharmacy expertise, national scale and best-in-class clinical model are designed to tightly manage your pharmacy costs. We provide competitive pricing, a well-managed formulary and over 200 prior authorization policies that manage inappropriate utilization without sacrificing delivery of quality care.

SPECIALTY PHARMACY

As specialty costs rise, we help you optimize the way that specialty care is delivered. Our close integration into both physician workflows and plan design choices align incentives to inform appropriate specialty utilization, and our integrated technology platform powers data-driven clinical and patient support decisions to maximize therapeutic effectiveness.

SYSTEM ALIGNMENT

We capture individual provider and system-wide cost drivers through collaboration with physician leadership to drive pharmacy performance. By using partnership approaches that support a harmonized formulary across hospital and pharmacy settings, we promote in-system utilization and minimize medication transitions.

CLINICAL PHARMACY MODEL

Our provider-led clinical model is tied to a value-based care platform, which helps you effectively manage your pharmacy network. We pull pharmacists into the continuum of care, which allows us to leverage best practices and manage patients from a complete and single-source view of their health status, including pharmacy and medical claims data.

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