Pharmacy Network Solutions

Optimize access, control drug spend, and control spend for high-risk populations through customizable retail network solutions

Customize your pharmacy retail network solution to meet plan and member needs with SS&C Health. Our competitive rates, complete pass-through model, and innovative health and wellness programs focus on optimizing your position on the “choice v. cost” spectrum. In addition, we can help you leverage the pharmacy benefit to impact issues such as medication non-adherence, and poor nutrition choices with specialized programs for certain high-risk populations.

Our retail network solutions include:

  • Open Pharmacy Network – Members can access up to 65,000 retail pharmacies in the US. With the Open Network, members can fill their scripts at the pharmacy of their choosing, with no member price incentives.
  • Preferred Pharmacy Networks – Members retain the option of using any pharmacy in the network, and they save money when they choose a preferred pharmacy.
  • Limited Pharmacy Network – Members choose from a narrower selection of pharmacies or dispensing formats. This option provides the greatest potential for member and plan savings.
  • Cardio Wellness Network – Available for clients using the Limited Pharmacy Network, the Cardio Wellness Network helps you leverage pharmacy claims information to support an improved total cost of care. We help you identify members at risk for cardio-vascular disease and offer specialized support designed to impact adherence and lifestyle choices that can impact their health. Members receive condition-specific nutritional counseling, education opportunities, health screenings, and more as part of the pharmacy benefit.
  • Specialty Network Centers of Excellence – Members diagnosed with certain high-risk disease states are assigned to carefully vetted specialty pharmacies that have particular expertise with their condition. These members receive personalized services that may include nutritional counseling, caregiver education, adherence support, and more from a dedicated team of specialists who are focused on their conditions. Plans can benefit from value-based contracting agreements and stringent quality measurement standards that hold the specialty pharmacies accountable to a high level of performance.