Pharmacy Network Management is a sensitive functional area that optimizes good customer service. This involves geographically mapping service areas and selecting pharmacies that fulfill critical categories. Chain and independent pharmacies, mail order pharmacies, institutional pharmacies, Indian Health Terrain pharmacies, and specialty pharmacies such as home infusion are all vital to our program’s success.

This service also includes a broader range of responsibilities such as contracting with participating pharmacies to enable online claims processing, updating member profiles, application of formulary management, and utilization management.