Pharmacy Services

Pharmacy Services: Medication Management & Cost Optimization

Secure, comprehensive medication management covering formulary optimization, medication administration, specialty pharmaceuticals, and Medication for Opioid Use Disorder (MOUD) — including methadone, buprenorphine, naltrexone, and long-acting injectables.

Cost Optimization Strategies

  • Generic substitution — automatic use of AB-rated generics (80-85% cheaper than brand-name) unless a prescriber specifies "brand medically necessary," per state Board of Pharmacy rules
  • Drug Utilization Review (DUR) — a two-phase review process ensuring prescriptions are appropriate and medically necessary, optimizing both costs and liability exposure
  • Volume discounts — leveraging a nationwide formulary requirement across the book of business to negotiate better pricing on preferred products
  • Pharmacy reporting — ongoing statistical analysis to catch utilization trends and anomalies proactively, before they become problems

Staffing & Access

Centralized Pharmacy Services Department in Pittsburgh with two in-house PharmDs and a physician, plus 24/7 on-call pharmacy coverage (via the Rx vendor partnership) and a toll-free line for facility staff.

Clinical Pharmacy Goals

  • Maximize positive outcomes through the most effective treatment per patient
  • Minimize adverse events via ongoing monitoring and compliance tracking
  • Appropriate pharmaceutical spend while preserving quality of care

This clinical oversight spans the full prescription lifecycle: before (formulary/guideline development), during (interaction/error monitoring), and after (education and retrospective review).

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health care?

Facility administrators can request a proposal.
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