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Pharmacy Book helps pharmacies track, analyze, and recover underpaid prescription claims from Pharmacy Benefit Managers (PBMs). Identify discrepancies, generate detailed reports, and take action to reclaim what you're owed.
Powerful Tools for Pharmacy Claims Recovery
Pharmacy Book provides a comprehensive suite of tools to help pharmacies identify, track, and recover underpaid prescription claims from PBMs.
Monitor commercial underpaid amounts, total owed, and other key performance indicators at a glance across all your pharmacies.
Automatically identify prescription claims where PBM reimbursements fall below AAC and WAC benchmark calculations.
Generate professional, detailed PDF reports of underpaid claims ready to share with PBMs, auditors, or internal stakeholders.
Draft and export EML files to contact PBMs directly about underpaid claims, streamlining your recovery workflow.
Compare PBM reimbursements against Actual Acquisition Cost and Wholesale Acquisition Cost benchmarks to spot underpayments.
Manage claims data across multiple pharmacy locations from a single platform with role-based access controls.
How It Works
Recovering underpaid claims is straightforward with Pharmacy Book. Follow these three steps to start reclaiming what your pharmacy is owed.
Import your prescription claims data into Pharmacy Book. The platform supports bulk uploads and organizes data across multiple pharmacy locations.
Pharmacy Book automatically compares PBM reimbursements against AAC and WAC benchmarks, flagging underpaid claims and calculating the total amount owed.
Export detailed PDF reports of underpaid claims and draft EML emails to send directly to PBMs, making it easy to start the recovery process.