About Radiant Healthcare
We offer specialized consulting, management, and services with the goal of making financial and operational improvements. Our years of experience in healthcare, along with our networks, allows us to provide a variety of pharmacy services and resources for customers. These include:
Comprehensive PBM Management Services
Our program provides a national network of retail pharmacies and a mail order pharmacy option so your patients are covered for their prescription needs. We issue insurance cards, have volume negotiated rates and we handle the payment to the pharmacies. Your group is provided with streamlined billing, usage, and reporting to best help you manage your pharmaceutical spend.
Pharmacy Program Development and Management
We assist in setting up a program that best meets your operational and financial needs. We offer full pharmacy program management or individual al la carte programs with any of our services in order to provide you the most flexibility. For example we are able to offer competitive 90 day prescription program with a lower patient copay and more convenience saving the plan and patient money. These programs can be set up that they are mandatory for the patient or offer as a supplemental program so it doesn’t displace your current health plans insurance program.
Retail Pharmacy Networking
Mail Order Pharmacy
Limited Distribution Specialty Pharmacy
Clinic Dispensing Program
Prescription Voucher Program
Afterhours STAT Prescription Fulfillment
Discount Card Program
Our contracted national network of community pharmacies consist of over 67,000 chain and retail locations where your patients can get their prescriptions filled. Formularies, plan parameters and copay structure will be available under our PBM adjudication program to enable the pharmacies to properly dispense these prescriptions. We will reimburse each individual pharmacy and provide your group a single detailed invoice in a variety of formats.
Our mail order pharmacy program is simple and efficient delivering products directly to patients doors. Our pricing is very competitive and we utilize a 90 day supply program for even more savings. Our system offers a med-sync program in order to adjust quantities so all medication refills may be filled on the same date. Medications can also be set up on a cycle fill so patients orders are automatically refilled and delivered. We screen for allergies and drug interactions and are available to patients to council them on their medications. We are able to manage shipping and prescription and copay billing making it a simple process.
Specialty drugs which may only be dispensed by a limited number of pharmacies are among the most expensive pharmaceuticals becoming a significant part of the budget. We have contracted with a majority of the specialty pharmacies and have negotiated discounted pricing. We arrange for the filling and shipping of these medications to your patients resulting in significant savings.
We provide unit of use stock prescriptions and pharmacy processing software to enable your licensed providers operate a clinic pharmacy for dispensing directly to your employees for immediate prescription turnaround at a significant savings.
This program allows your group to offer a voucher for a specific patient for a specific listing of medications, quantity and date range which may be filled and over 67,000 pharmacies at no charge to the patient or at a predetermined copay amount. This is especially useful when a patient being discharged from a facility where medication must be supplied or with a drug company’s promotional medication program where there is a third party payor. We would key in the patient demographics and medications into our network software and patient would present the card at the participating pharmacy. Medications will be invoiced at a negotiated discount rate and we will handle payment to the pharmacies and invoice the plan.
Our contracted national network of community pharmacies consist of over 67,000 chain and retail locations to supplement your agency’s pharmacy program afterhours. This program is utilized when your agency or facility needs a minimal amount of doses when your pharmacy is closed or when your mail order pharmacy can not get you product until the following day. We utilize competitive pharmacy rates lower than retail pricing and we manage the billing and reporting process for you. We will also arrange for delivery services though a national network of couriers.
Our discount card helps consumers without insurance reduce prescription costs through our national network of 67,000 chain and retail community pharmacies. Our card is free to use and there aren’t any deductibles. Simply present to card with your prescription to a participating pharmacy and receive up to 75% off of the retail price. this is not an insurance card and may be used by anyone. Our link below allows you to look up participating pharmacies and the discounted pricing. Cards can be printed from our website, displayed on your phone’s browser or texted to your
Program Evaluation and Contract Negotiations
With our extensive experience in healthcare and within the current market we are able to analyze your current pharmacy program in order to determine if you are receiving the most benefit and will make plan or provider change recommendations. With our relationships we can offer alternate solutions or negotiate with your current providers. We are able to review your pharmaceutical data to ensure you are being properly charged based on your agreement and suggest recommendation in order to lower your spend.
Formulary Development and Implementation
We will offer a cost effective drug formulary in order to help best manage costs while not compromising patient care. Our clinical pharmacist team focuses on the past patient clinical outcomes within your plan design. We put in place step approach therapy while requiring the proper prior authorizations for particular medications or drug classes. Copays can be set based on your preferred parameters, such as a higher copay or cost percentage for non-formulary medications, brand-name preferred, certain drug classes, out of network, etc.
With our partnerships we are able to offer a telemedicine program for patient convenience and lower costs to your program compared to traditional offices. We will integrate our partners so they are educated on your healthcare parameters as well as follow your drug formulary.