Welcome to Pharmacy Outcomes Specialists

Pharmacy Outcomes Specialists is the premier consulting firm in the pharmacy benefits industry, offering corporate clients, unions, government agencies and managed care organizations leading edge services.  Founded in 1996, Pharmacy Outcomes Specialists is one of the most experienced consulting firms performing over 600 audits and reviewing over 500 million pharmacy claims.  Projects include large complicated audits of Medicare Part D programs, audits of Pharmacy Benefit Managers (PBMs) for compliance with financial and plan terms and our annual educational conference.  Pharmacy Outcomes Specialists’ consultants and partners are a unique group of pharmacists, pharmacy technicians, accountants, financial analysts, attorneys and government specialists.

DO THE AWP PRICING ROLLBACK ISSUES HAVE YOU BAFFLED? DO YOU THINK THAT YOUR PBM IS MAINTAINING RELATIVE ECONOMICS FOR YOUR PLAN WITH THE CHANGES?  DO YOU THINK IT IS RIGHT THAT YOUR PBM CAN UNILATERALLY CHANGE AWP PRICING? Please see our position on the AWP Rollbackand what has happened since September 25 with the pricing guides.  Call us with any questions you may have at 847 540 9590 ext 102. Click here for examples of how the rollback will work and margins that mail order facilities will lose.

What do you need to know about contracting with your PBM?  Read this article to understand key requirements and make your contracts more advantageous for you rather than your PBM.

Do you know what Drug Risk Evaluation of Mitigation Strategies and do your members need to be sent one by your PBM?  Click here for an explanation of these requirements for all health care providers. And click here for some additional clarification and information on this important topic.

Contact Us Today to learn more about AWP pricing rollback, Medispan pricing changes, and First DataBank pricing changes.