Strategic Consulting.

Strategic Consulting.

Benefit Plan Assessment ✶

Benefit Plan Assessment ✶

Take control

of your pharmacy benefit spend with a

Appro-Intel Assessment.

    • Current PBM contract

    • Twelve-month file of claims and rebate activity.

      Note: Plan sponsors are entitled by law to receive their claims data in a timely manner, even if a vendor suggests otherwise.

    • Independent review in minutes using real claim data, contract terms measured against industry standards, and factual financial outcomes.

    • Understand your true bottom line without assumptions, personal bias, or vendor influence.

    • Map contract language to real claim and rebate data

    • Show how definitions, pricing structures, specialty terms, and rebate mechanics translate into actual plan cost with supporting evidence

    • Clarify whether the plan is performing as intended

    • Net cost clarity

    • Trend analysis

    • Specialty impact

    • Hidden exposure areas

    • Biosimilar opportunities

    • Pricing inconsistencies

    • Where value is gained or lost

    • Renegotiate terms and correct weaknesses

    • Validate vendor performance

    • Capture savings while maintaining member access

    • Turn complex pharmacy economics into simple next steps

    • We walk you through the results and answer any questions.

    • You can use the findings to improve performance with your current PBM or explore Appro-Rx or trusted partners as an aligned alternative.

    • There is no risk and the potential for significant reward.

Plan Design Review ✶

Plan Design Review ✶

Take control

with our Pharmacist designed, Guideline-Driven

Plan Design and Claim Review

    • Current PBM Formulary

    • Twelve-month file of claims and rebate activity

      Note: Plan sponsors are entitled by law to receive their claims data in a timely manner, even if a vendor suggests otherwise.

    • Recommends plan designs that result in positive patient outcomes

    • Provides strategies that improve cost efficiency without sacrificing care

    • Delivers pharmacist led insight on pharmacy market dynamics
      Brings clarity to emerging drug and benefit trends

    • Offers practical guidance on how these factors affect your organization

    • Net cost optimization opportunities

    • Specialty and generic utilization trends

    • Specialty impact on total spend and opportunities for biosimilar or therapeutic interchanges

    • Lowest net cost formulary options

    • Biosimilar savings opportunities

    • Pricing inconsistencies across channels

    • Where value is gained or lost within the benefit structure

    • Prior Authorization, quantity limits, and day supply optimization

Minimum 15% Savings

with our Audit Tool

In millions ($)

Before and After Drug Spend after Appro-Rx Audit and Consulting

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