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PMCS Launches the Next Generation of Pharmacy Benefit Management.


SCOTTSDALE, Ariz. -- Based on extensive research, Preferred Medical Claim Solutions (PMCS PMCS PMC Sierra (stock symbol)
PMCS Project Management Control System
PMCS partial mission-capable, supply (US DoD)
PMCS Preventive Maintenance Checks & Services
PMCS Professional Military Comptroller School
) (www.pmcsaz.com) has selected EBRx, Inc. (www.ebrx.com), a division of Managed Care of America, Inc., as an exclusive partner to provide the resources to launch a full service Pharmacy Benefit Management A Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims.  (PBM PBM - play by mail. See play by electronic mail. ) program.

The goal of the jointly established "Triple Net" Pass-Through Program is to provide cost savings, and to generate revenue opportunities for administrators. PMCS will offer a pass-through cost savings solution to all of its clients that will ultimately give the administrator complete control over their pharmacy costs. In addition, PMCS will offer EBRx's state-of-the-art RDUR and Disease Management programs to its clients.

Triple Net Model

--No margining of drugs; actual acquisition cost passed through

--No margining of dispensing dispensing

provision of drugs or medicines as set out properly on a lawful prescription. A prescription can only be filled, the drugs supplied, by a registered pharmacist, veterinarian, dentist or member of the medical profession.
 fee; actual fee passed through

--Full rebate earned by health plan

"In an effort to take the smoke and mirrors out of the PBM process, EBRx provides a fully transparent pricing model. Our belief is that the industry should follow our example of assisting health plan clients in reducing overall prescription costs," states Jay Ver Hulst, President of EBRx. "Integrating pharma data with medical data to provide a predictive risk analysis, and to determine clinical pathway clinical pathway Critical pathway, treatment pathway Clinical medicine A standardized algorithm of a consensus of the best way to manage a particular condition Modalities used Teletherapy, brachytherapy, hyperthermia and stereotactic radiation.  failures, is an important part of medical management. EBRx will be providing these valuable tools to our clients' medical management providers as part of our product offering."

Paul Caliendo, President/CEO of PMCS states, "PMCS is proud to announce that we have found the solution to rising drug costs. Based on the advance funded provider (AFP (1) (AppleTalk Filing Protocol) The file sharing protocol used in an AppleTalk network. In order for non-Apple networks to access data in an AppleShare server, their protocols must translate into the AFP language. See file sharing protocol. ) concept that PMCS pioneered in 1998, PMCS has now developed the process of funding our clients' pharmacy scripts as well. This business model will allow us to achieve steeper discounts with the Nation's top pharmacies. Any further discounts achieved through our prompt funding of prescription invoices will be passed through directly to the benefit plan. PMCS is very excited about this groundbreaking development in healthcare, and the opportunity that it represents for our clients."

About EBRx, Inc.

EBRx is a fully integrated, comprehensive Pharmacy Benefit Manager (PBM) that offers the highest quality and convenience to its customers. Since 1985, EBRx has grown steadily by providing a long-term commitment to each of its customers. Claims are now processed nationally for third party administrators, insurance companies and self-funded employers. EBRx provides an exceptional managed care prescription drug prescription drug Prescription medication Pharmacology An FDA-approved drug which must, by federal law or regulation, be dispensed only pursuant to a prescription–eg, finished dose form and active ingredients subject to the provisos of the Federal Food, Drug,  program that can be private labeled to meet the individual needs of its customers. Their mission is to provide the highest quality product available in the most courteous cour·te·ous  
adj.
Characterized by gracious consideration toward others. See Synonyms at polite.



[Middle English corteis, courtly, from Old French, from cort, court; see
, convenient, efficient and cost-effective manner. Their standard of performance is 100 percent quality and 100 percent satisfaction, 100 percent of the time.

About PMCS

Preferred Medical Claim Solutions (PMCS) is the proven "Leader in Claim Settlement," with the nation's first and only Advance Funded Provider (AFP) program. Clients of PMCS have access to a cost containment cost containment,
n the features of a dental benefits program or of the administration of the program designed to reduce or eliminate certain charges to the plan.
 solution that seamlessly incorporates into their daily claim processing routine. Founded in 1998, PMCS established a Preferred Data Interchange (PDI PDI Protein Disulfide Isomerase
PDI Personal Docente e Investigador (Spanish: Personal Educational and Investigating)
PDI Pre Delivery Inspection
PDI Professional Development Institute
) between Payors and Providers to facilitate the processing of medical claims that were deemed eligible, but were submitted by medical providers not associated with the Payors primary network. PMCS continues to be a progressive partner in the healthcare industry with its services proven to efficiently reduce paperwork, disputes and the time it takes to render payment for services. By automating and streamlining the claim settlement process, PMCS has enabled its business partners to save millions of dollars.
COPYRIGHT 2004 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2004, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Date:Jun 24, 2004
Words:573
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