Prescription drug management companies are used by Health Plans, State Medicaid, CMS, Commercial and Self-funded insurance companies to control the high cost of pharmaceuticals.
LD has experience in the creation of pharmaceutical unit price algorithms for both client and provider Maximum Allowable Cost (MAC) lists to optimize the profit of a PBM. We also have experience with setting Usual and Customary prices for Mail Order pharmaceutical Drugs.
LD has performed analytics and created models focusing on prescription drug cost trend, contract negotiations with retail pharmacies and client underwriting. LD has also contributed to Medicare Part D analyses from both the PBM and the Health Plan (PBM client) perspective.
As with its other client types like Health Plans and government organizations, LD has lowered the cost of doing business for PBMs by automating repetitive tasks. We build these solutions without the need for costly software additions but rather through the use of often existing Microsoft Office products, SQL/SAS/Visual Studio and Visual Basic programming.
LD Consulting 