DHS PBM System Application 

PBM – Facilitating Better Healthcare: 

• Lower Costs
• Improved Health
• Enhanced Patient Experience

Target Clients: 

• Third Party Payers (Insurance Companies, Employers)
• Healthcare Providers (Hospitals, polyclinics).
• Pharmacy Network (Hospital & community pharmacies)
• Pharmaceutical Manufactures 

Offered Modules: 

1. Drug Formulary Development and management (Drug Database)
2. Member Eligibility Check & Pre- Authorization
3. E-Prescription Module
4. Pharmacy E-Claims management and processing
5. Electronic Medical Records (EMR), Patient information & Medication history
6. Benefit Plan Design and Administrative Services
7. Member and Provider Customer Support Services
8. Drug Utilization Review (DUR) & Reporting Services
9. Cost Containment Programs (MAC list)
10. Provider Web Portals, Member Web Portal, Member Mobile Application
11. Drug Rebates / Discount administration
12. Pharmacy Network Management