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 — claims processing, network management, mail order, specialty, and clinical programs — under one bundled contract. 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.
