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    Pro Pharma Pharmaceutical Consultants, Inc.

    Understand, Predict, Change.

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  • CC

    Clinical Compliance

    Digital & Clinical Edits for Monitoring Medication Effectiveness and Risks

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  • CMR

    Comprehensive Medication Review (CMR) for Populations

    Automated Review of Medication - Link to Billing, EMR, Patient & Prescriber Letters

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  • CAA

    Concurrent Audit and Analyses

    Pharmacy Invoice Analyses – Identify, Prioritize & Manage Rx Adjudication Issuescy

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  • FP

    Forecasting & Predictions

    Artificial Intelligence to Forecast and Predict the Impact of Specific Factors on Population

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  • FWA

    Fraud, Waste & Abuse

    Identify FWA at Pharmacy, Provider, & Patient Levels for Interventions and Correction

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  • JCC

    JCode Calculator

    Identify Specialty Rx HCPCS, NDCs, Pricing, Dx, Usage, FDA Alerts and Genomic Tests

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  • MAC

    Maximum Allowable Cost List

    Customized MAC List – Transparent, Accessible & All the Savings Go to the Payers

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  • PC

    Pre-Certification of Specialty Medication

    Prior Authorization Criteria with Efficacy, Dosing, Frequency, Combination Therapy & Cost

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  • QMP

    Quality Management Program for Populations

    Improving Quality-Prescribing Decisions for Your Members, Without Having to Change your Benefits

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  • RFP

    Request for Proposal (RFP) Management

    Vendor Proposals Evaluated Rapidly & Efficiently in a Customized Document-Linking Program

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  • RA

    Retrospective Audit

    Pharmacy Audits & Management Prioritizing Corrective Actions Automatically

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  • SMA

    Specialty Medication Analyses

    Analyze & Validate All Elements of Medical & Pharmacy Spend and Actions for Outlier Providers

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Visit our Pharmacy Benefit News Page

We provide pertinent and relevant information on a regular basis to educate and to keep the general public well-informed with up-to-date healthcare information.



Bringing Clarity to Healthcare Decision-Making with Analytical Tools

For Your Specific Consulting Solutions.

We offer a variety of services that integrate both pharmacy and medical data to solve healthcare problems.

Every service we offer is can be customized to fit your organizations individual need.

To learn more about the services we offer please click on the items on the right.