Pharmacy Benefit Management

Beyond Traditional Pharmacy Benefit Management

Happier Physicians and Patients, Plus Better Outcomes 

Our pharmacy benefits management (PBM) capabilities reduce unnecessary manual authorization processes, providing patients and physicians with a friendly experience without compromising on unit cost.

  • Physician friendly: smart prior-authorization eliminates touchpoints, saving valuable time. Data integration ensures that physicians have better and faster data on their patients.
  • Patient friendly: rapid authorization reduces delays and return trips to the pharmacy, increasing the probability of medication adherence. Integration with population health data reduces unnecessary touchpoints with care team, which encourages overall engagement.

"Evolent Health has been able to help us increase our efficiencies, increase the quality of care that we give to patients and increase the service that we give to patients."

Premier Health Patient Story
In Partnership with Evolent Health

Not Your Traditional PBM

Our clinical pharmacy team works hand-in-hand with our population health team and you to implement a PBM model that yields immediate value-based results.

All that you’d expect from a traditional PBM

Including formulary management, competitive unit pricing, rebate management, utilization management, specialty pharmacy, claims processing, network management and member services.

Plus population health integration

Pharmacy claims are combined with clinical data to support smart prior-authorization, a holistic view of each patient to inform the care team and a seamless patient experience where each touchpoint is highly productive.

Plus alignment with you and your physicians

We leverage any existing pharmacy assets and work with your physicians to optimize therapies. Our model can accommodate the need for a traditional open pharmacy network or a low-cost narrow network.

One Partner for Your Value-Based Journey

Our pharmacy benefit management capabilities are built on our experience and passion for supporting physician groups and health systems making meaningful progress toward the new model of value-based care. We aim to be your partner throughout the journey, leveraging the experience of our team and an integrated approach that is proven to work.

Learn More About Our Integrated Approach