AT LAST IT'S HERE ... An international Pharmacy Benefit Management system. A low-cost, easy to install PBM model is available today that compares favorably with major US PBM systems. It is a 21st century Internet, real-time, online turn-key system for Insurers and Government Drug Benefit programs - small and large. 

     Before PBMs, Drug Benefit programs had proven to be extremely vulnerable to Fraud and Abuse culminately in excessive premiums. Pharmacy Benefit Management ("PBM") systems came to the rescue by using the innovation of data communication online methods pioneered by the banking industry for ATM and Credit Card transaction processing.

     Pre-dispensing verification of eligibility at the Point of Sale enable PBMs to minimize fraud and abuse. 20 years of trial and error innovation of many cost containment strategies limited excessive costs. PBM functions optimize drug benefit programs with minimal waste -  lower costs for the sponsor and smaller premiums for the subscribers.

     PBM system available in Spanish for various currencies. Free Trial system provided for up to 6 months to prove savings!

Drug Benefit Programs Proven to Extend Average Mortality Rates Worldwide

   A number of factors are attributed to the increased longevity experienced throughout the developed world.  The nations that have provided government subsidized drug benefits have mortality rates 15% to 20% higher than those without free or near free programs (85 years v. 67 years). For this reason, many believe that much of the credit for this improvement should be given to increased application of pharmaceutical therapies.

   The expense borne by government for these socialized drug  programs grows every year for a number of reasons.

• Older citizens are more susceptable to more chronic diseases;

• Seniors are living longer and are increasing in numbers and their drug utilization;

• More new drugs added each year for therapies treating illnesses and disease more effectively;

• Inflationary increases in costs of old and new drugs;

• Physicians influenced to maximize drug therapies to reduce disease complication related hospitalizations.

   So, it follows, that there is a natural growth in drug subsidy expense. When we add to these unanticipated increases the inevitable fraud and abuse inherent in retrospective systems, the potential for an explosion of subsidy costs can be a reality.

   Insurance companies experienced 5% to 10% ordinary growth in expense a decade ago. This becomes catastrophic if you add to those increases the added burden of fraud and abuse that can easily increase the annual costs by another 10% to 25% if there are no pre-dispensing screening measures implemented.

  It is apparent that PBM cost containment controls are absolutely essential to sustain budgeting integrity. Runaway drug expenditures will quickly become a political issue that can bring down a heretofore stable government administration.

  It follows that implementing a PBM, real-time,online control of costs is an insurance policy for politicians.

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Table of Contents (click)

#1 - Benefit Programs At Risk 

#2 - Today's Offline System

#3 - The PBM Solution

#4 -  PBM Controls

#5 -  PBM Savings

#6-   PBM Integration

#7-  Installation 3 Months

#8 - Sample PBM Screens

#9 - Implementation

#10 - Appendix (IT details)