Progressive Pharmacies Managed Care Contracting service encompasses more than 500 contracts, that are aggressively negotiated, enrollments managed, and all necessary maintenance done to keep your enrollment active. Complete management of the contracts can be provided when combined with Progressive Pharmacies’ Cash Management and Claim by Claim Reconciliation Services.
We collectively bargain with pharmacy benefit managers (PBMs) to get more favorable terms. We also process claims/billing information on behalf of independent pharmacies. In these cases, while the pharmacy sends transmits claims directly to the PBM, it requires the PBM to send reimbursements to the PSAO. After the PSAO receives the reimbursement from the PBM, it then disburses fund to the pharmacy. Learn More