Who We Serve

Employer/Payer

Formulary and Plan Design

Appro-Rx offers our clients national Commercial, Medicare Part D and Medicaid formularies, along with the flexibility to customize formularies to target individual needs. Our programs feature a range of tiers, with a focus on coinsurance or dollar copayments, including generic and brand at the retail, mail and specialty distribution level. The Appro-Rx programs allow our clients to experience significant savings on Average Wholesale Pricing (AWP) and dispensing fee costs across all tiers.

State-of-the-Art Software

Appro-Rx clients can easily access information about pharmacy reimbursements, rebates, the Maximum Allowable Cost (MAC) list and administrative information on the industry-leading MERLIN portal. Live system access allows our clients to see claims data, MAC list and formulary updates in real time, giving members and providers the data they need for optimal decision-making and efficiency. Here's why MERLIN is the industry's newest and best technology platform:

  • 100% Transparency - clients have real-time access to live claims data
  • Full formulary access and customization
  • Full access to the MAC list
  • Full member profile, including acute medical information
  • Monitoring of Fraud, Waste and Abuse
  • Drug Utilization Review (DUR) implementation