PersonalMed, LLC, has entered into a collaborative agreement with AmerisourceBergen’s pharmacy services administrative organization (PSAO), Elevate Provider Network, to introduce its pharmacy credentialing program. The program is available to the more than 4,500 independent pharmacies that participate in the Good Neighbor Pharmacy and Elevate Provider Network programs, and is focused on ensuring pharmacists can continue to submit claims for compounded medications to payors that are increasingly adopting credentialing and accreditation requirements.
The relationship will encourage Good Neighbor Pharmacy and Elevate Provider Network members that compound medications to earn the cCert recognition by completing PersonalMed’s compounding certification program and to take advantage of its billing and claims-management services. PersonalMed and AmerisourceBergen will officially launch the credentialing program at ThoughtSpot, Good Neighbor Pharmacy’s annual conference and trade show held July 19 – 21, 2017, at Mandalay Bay in Las Vegas.
Third-party payors – such as healthcare plan sponsors and their pharmacy benefit managers (PBMs) – are increasingly adopting credentialing and accreditation requirements to ensure that the network of pharmacies filling compounded medications meets the highest standards of quality, compliance, accreditation and transparency within their products, pricing and business practices. The goal is to ensure that Elevate members remain in network for compounded medications.
“We are excited to assist those Elevate member pharmacies that want to continue to bill compounded medications to payors,” said Ernie Rapp, president of PersonalMed. “We have seen an increasing number of payors that require credentialing for compound medications. cCert can assist Elevate members with the adherence to best practices and ensure the focus remains on quality and patient needs.”
“Many patients rely on compounded medications as the best form of therapy. and the service is an important niche for many independent pharmacies,” added Chuck Reed, group vice president of pharmacy innovation at AmerisourceBergen. “Introducing this service reaffirms our commitment to supporting the success of independent pharmacies by providing new and innovative solutions that help them accomplish their goals.”
PersonalMed is a leader in providing compounding management solutions and credentialing services; Elevate is one of the largest PSAOs in the country, helping independent pharmacies maximize profitability, improve operational effectiveness and enhance patient care. Elevate Good Neighbor Pharmacy have more than 4,500 members in its care network, and negotiates contracts with over 35 pharmacy benefit managers (PBMs) for more than 7,500 plans.
Credentialing through the joint cCert program is available to members of the Elevate Provider Network and other compounding pharmacies that meet the same participation requirements. For complete details, email firstname.lastname@example.org or call (844) 901-7832.
PersonalMed, LLC, provides services to third-party payors to manage and process claims for compounded medications through (i) its Preferred Provider Network and (ii) its PAGO platform. The Preferred Provider Network is a high-performance network of compounding pharmacies that agree to comply with strict credentialing standards in addition to holding PCAB Accreditation, a service of the Accreditation Commission for Health Care (ACHC). PersonalMed’s credentialing focuses on accreditation, legal compliance, clinical and quality standards, ownership, training, pricing, contract compliance and business practices. PAGO is a cloud-based billing and claims management platform. For more information, visit PersonalMed’s website at www.personalmedrx.com
AmerisourceBergen provides pharmaceutical products, value-driving services and business solutions that improve access to care. Tens of thousands of healthcare providers, veterinary practices and livestock producers trust us as their partner in the pharmaceutical supply chain. Global pharmaceutical manufacturers depend on us for services that drive commercial success for their products. Powered by our 19,000 associates, we are united in our responsibility to create healthier futures. AmerisourceBergen is ranked #11 on the Fortune 500, with more than $146 billion in annual revenue. The company is headquartered in Valley Forge, Pa. and has a presence in 50+ countries. Learn more at www.amerisourcebergen.com
Del Doherty, Pharm.D., Ph.D., MPH, 844-901-7832
Vice President of Managed Care Services