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Pharmacy Management Suite

Drive quality care and compliance for all pharmacy management activities

MedHOK’s Pharmacy Management suite brings together all pharmacy management activities, including integration with ePA vendors, to ensure compliance timeliness, reduce administrative costs, and improve drug safety. With a comprehensive view of every member through the platform’s 360Member profile, customers are better equipped to make well-informed clinical decisions in support of optimal health outcomes.

Process efficiencies are achieved through customizable automation and workflow capabilities that reduce human error and improve compliance, with out-of-the-box dashboards, reports, and universes to ensure timely and compliant processing of all cases.


Pharmacy Management Solutions

  • Pharmacy Prior Authorizations
  • Pharmacy Electronic Prior Authorization (ePA)
  • Pharmacy Appeals
  • Pharmacy External Review/Appeals
  • Pharmacy Grievances
  • Pharmacy Member Services Management

Pharmacy Quality Solutions

  • Medication Therapy Management
  • Opioid Monitoring/Drug Lock-in Programs
  • Medication Reconciliation & Drug Utilization Review
  • Retrospective Drug Utilization Review
  • Pharmacy Quality Alliance and NCQA HEDIS® Drug Adherence Gaps
  • Star and Quality Performance Analytics
  • Pharmacy Specialty Management

Featured Resources

Featured Blog

CMS Releases 2019 Plan Year Checklist

The Centers for Medicare and Medicaid Services (CMS) recently released its 2019 Plan Year Checklist.…

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Government Health Plans

Effort to Rein In Drug Costs Means Major New Initiatives in Medicare Advantage and Part D

While drug costs have been relatively moderate of late, the Centers for Medicare and Medicaid…

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Government Health Plans

CARA Act Implementation Gives Medicare Plans Additional Opportunities to Impact Drug Abuse

In early March, the Centers for Medicare and Medicaid Services (CMS) announced its final rule…

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