Plan Sponsors

Our customized and personalized approach to total drug management ensures that we provide plan sponsors with flexible, high-touch programs supported by innovative clinical programs and leading-edge analytics that help manage costs and trend.  It all leads to improved clinical quality, safety and measurable outcomes, and the right cost-effective medications for members.

Envolve Pharmacy Solutions delivers comprehensive total drug management, that includes:

  • Integrated, total drug management (claims processing; utilization management; prior authorization, retail and 340B networks)
  • Innovative clinical programs
  • Secure online member portal
  • Education and outreach for member/patients
  • Comprehensive reporting
  • State-of-the-art technology and analytics designed to improve individuals’ outcomes while reducing costs
  •  Customized formulary management
  •  Benefit design
  • Claims processing
  • 24/7/365 live member services staffed with licensed pharmacy technicians

 

How Envolve is different:

Total Drug Management:

We combine the systems, tools and expertise of a traditional PBM with the capabilities and experience of a comprehensive specialty pharmacy to provide a full spectrum of pharmacy benefits management services that are tailored to each of our plan sponsor partners.

Flexibility With Innovation:

We deliver a flexible, high-touch benefit supported by innovative clinical programs and analytics.

Customized:

We offer a variety of options for managing drug spend, rather than a one-size-fits-all approach to benefit needs.

Integrated:

We’re able to integrate care management, costs and outcomes for pharmacy and medical benefit plans.

Visibility:

We provide complete visibility into the financial, clinical, and operational aspects of pharmacy management and delivery.

Member Focused Care:

We do it all within the context of a member-focused model where caring is king.

 

Envolve Pharmacy Solutions provides benefit management solutions to a multitude of service providers:

  • State-Funded Managed Medicaid Programs
  • Medicare Programs
  • The Health Insurance Marketplace
  • Third Party Administrators
  • Union Groups
  • Self-Funded Employers
  • Behavioral Health Organizations
  • Brokers and Consultants
  • Government Programs