Helping Employers Take Control of Pharmacy Benefits

Independent expertise, actionable insights, and practical solutions to optimize pharmacy benefit performance and reduce costs.

Managing pharmacy benefits has become increasingly complex. Rising drug costs, evolving PBM models, specialty medications, and regulatory changes can make it difficult to know whether your plan is performing as it should. ALTTRAX helps employers gain clarity, identify opportunities, and make informed decisions through independent consulting, audits, assessments, performance monitoring, implementation support, and strategic guidance. Explore the solutions below to see how we help organizations maximize the value of their pharmacy benefit programs.

Audits

Through our modern audit management platform, we deliver a custom and comprehensive auditing experience to help you identify discrepancies and discover optimization opportunities.

We offer a range of pharmacy audit services, with a focus on PBM, Medicaid, and 340B audits.

CUSTOMIZED AUDITING PROCESS

Using our modern platform, we conduct a 100% claim level review by channel and drug definition. This meticulous review ensures adherence to the pricing terms, calculations, guarantees, and exclusions outlined in your contract. By identifying any discrepancies, we help you optimize your pharmacy benefit program.

REBATE ANALYSIS

We conduct a comprehensive analysis of rebates based on your contract terms. The audit includes a detailed review of rebate contracts and invoices to ensure proper rebate payments.

ANNUAL MARKET CHECKS

Our annual market checks provide ongoing financial oversight and ensure market competitiveness throughout the duration of your contract. By staying informed about market trends and changes, we help you make informed decisions and optimize your pharmacy benefit program effectively.

With ALTTRAX, managing pharmacy benefit audits has never been easier. Let us simplify the pharmacy audit process and help you uncover valuable optimization opportunities for your organization.

Implementations

Whether you’re adopting a traditional PBM model or embracing a modular approach, implementation is the make-or-break phase. ALTTRAX doesn’t just consult. We roll up our sleeves and deliver. From vendor selection to operating workflows, from contracting to compliance, we’re with you every step.

Traditional PBM model: A single pharmacy benefit manager provides all core services under one bundled contract — claims processing, network management, mail order, specialty, and clinical programs. It’s simpler but less flexible.

Modular PBM model: Functions are unbundled and handled by multiple specialized vendors (e.g., one for claims, another for mail, another for clinical). It requires more management but offers greater customization, stronger control, improved transparency, and the potential for substantial cost savings.

See this short story that outlines our approach and this post about the modular model.

Discover and Assessment

We begin by understanding where you are: your current PBM setup, gap areas, vendor landscape, cost exposures, and risk.

Model Design and Planning

We help you choose your desired configuration — traditional, modular, etc. and identify dependencies, integration points and more.

Vendor Selection & Contracting

We assist in evaluating vendors, defining SLAs, negotiating contract terms, ensuring interoperability and accountability.

Implementation & Integration

Systems, claims flows, network relationships, clinical tools — we execute and coordinate all moving parts.

Testing, Training & Go-Live

Comprehensive end-to-end testing. Ensuring your team and vendors are ready. Smooth transition to operational performance.

Monitoring & Continuous Improvement

Post-launch oversight: performance metrics, compliance, vendor reviews, refinements to optimize savings and clinical outcomes.

What Sets Us Apart

  • Deep expertise: decades in PBM operations with multiple full-scale implementations under our belt.
  • Proven track record: delivering results and solving issues many others underestimated.
  • Balanced approach: no vendor bias, focused on outcomes. We are INDEPENDENT.
  • Transparent metrics and accountability: baked into every phase.

Let’s Talk!

Ready to launch your PBM implementation with precision and confidence? Contact ALTTRAX for a free consultation to explore whether modular, traditional, or hybrid implementation is your smartest path forward. See our contact information at the top of this page.

MaximizeRx

ALTTRAX now offers a suite of powerful services that complement your expertise, providing the operational pharmacy knowledge to maximize financial and clinical opportunities in the complex pharmacy landscape.

Our consulting team brings clinical, audit, implementation, recruitment, and other expertise together to help clients navigate complex challenges and achieve better outcomes.

We combine deep industry knowledge with the power of analytics, helping you navigate complexities, improve efficiency, and maximize the value of your pharmacy benefit programs. Did you find us on LinkedIn? Let us know!

PBM Contract Assessment

Start with our complementary PBM contract assessment! Receive a detailed contract assessment that provides you with the data and insights needed to negotiate contracts more effectively.

Audits

We provide comprehensive audits to help you identify discrepancies and discover optimization opportunities. We offer a range of pharmacy audit services, with a focus on PBM, Medicaid, and 340B audits.

Performance Monitoring

Using our modern technology platform, we analyze and interpret data and turn it into actionable insights.

Pharmacy Oversight

From financial and operational support to market checks and RFP oversight, we help you cut costs, eliminate waste, and drive better outcomes.

Innovative Pharmacy Solutions

Reduce costs without compromising quality using our pharmacy cost savings programs designed to deliver maximum value.

Clinical Strategies

Optimize outcomes and reduce costs with innovative clinical solutions that enhance medication management, improve adherence, and drive value-based care.