Comprehensive PDL services

With 40+ years of Medicaid pharmacy experience supporting over half the nation’s programs, we help states manage high drug costs and ensure members get the meds they need.

Our areas of focus

Tailored preferred drug lists 

Get customized preferred drug lists (PDLs) built on your data and based on the trends affecting your population. The result: significant savings and access to the high-quality meds your members need. 

Rebate contracting services

Let us handle negotiations so you can focus on providing the best care. We facilitate supplemental rebate agreements with pharma manufacturers on your behalf, including guaranteed net unit prices, clinical criteria and step-edits. 

Reports and consultative services 

Get guidance and expertise on Medicaid best practices from our PDL team, which has deep relationships across the Medicaid market. And gain a better understanding of utilization with our comprehensive reports.   

Value-based contracting 

Tap into the first multistate value-based contract designed for state Medicaid programs. If promised health outcomes are not realized, the manufacturer will refund a portion of the drug cost back to the state.

State resources at your fingertips

Access information and resources on single-state programs, The Optimal PDL $olution (TOP$), National Medicaid Pooling Initiative (NMPI), diabetic supplies and more. 

TOP$: The Optimal PDL $olution

We administer the TOP$ multistate Medicaid pharmaceutical purchasing pool, helping states save big.

Single-state programs

Our team of experts works to create tailored preferred drug lists for each state’s Medicaid program.

NMPI: National Medicaid Pooling Initiative

We negotiate the best price available from the pharmaceutical industry on behalf of our participating clients.

Diabetic supplies

We help members manage their diabetes by providing access to essential diabetic supplies at an affordable price.

33M

We currently work with 23 states + D.C. to manage a combined 30M lives and approximately $18B in drug expenditures.

Services we offer

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