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Managed Care

A Good Neighbor Pharmacy managed care expert shakes hands with a plan representative

Elevate

Your patients know your value. Your PSAO should, too.

Preserving, protecting, and promoting independent pharmacist-provided patient care.
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Protect your pharmacy’s patient access and financial viability

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Elevate Provider Network is the only PSAO that combines strategic contracting, passionate advocacy, and substantial investments in your independent pharmacy’s clinical and financial success.*
Clinical male patient

Elevate Provider Network – fully aligned with your values and challenges

We understand that independent pharmacies need a PSAO that is fully aligned with the values and challenges of independent pharmacy. That’s why Elevate Provider Network, our PSAO, makes decisions in the best interest of our independent pharmacy members. We are fighting post-adjudication recoupments of all kinds through negotiations and continued advocacy efforts with legislators. 
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Our contracting strategy works!

Elevate members achieved a 6.2 percent year-over-year growth compared to 2 percent for the total independent pharmacy retail network.† 

A healthier, more financially secure future for your pharmacy

Independent pharmacies need a PSAO that isn’t perpetuating an outdated business model that commoditizes them. Instead, you need a forward-thinking advocate that meets your needs today and invests in your future.

Elevate protects your viability and preserves your ability to serve your community:

  •  Avoids, delays, and reduces post-adjudication recoupments of any kind.
  • Contracting strategy results in substantial savings for Elevate members.**
  • Substantial savings make a significant difference in your pharmacy’s bottom line.**

Your patients value you and so does Elevate

Elevate Provider Network contracts differently, and our strategy is based on the belief that patients pick their pharmacy first and then they pick their plan. Elevate rejects the idea that all pharmacies are an interchangeable commodity with no incremental value. This is because we respect and trust the strong bond that independent pharmacists build with their patients.

That’s why we fight for fair compensation for the value our pharmacies deliver

Elevate’s selective contracting strategy:

  • Preserves patient access
  • Protects independent pharmacies’ viability
  • Promotes independent pharmacist- provided vital clinical services

**Per Elevate data based on average pharmacy filling 5,000 claims per month. Savings and results may vary.
†Note: This is based on information licensed from IQVIA: RxInsight for the period June 2021 – May 2022 vs. June 2022 – May 2023 reflecting estimates of real-world activity. All rights reserved.

 

Investing in independent pharmacy to protect patient access and expand care

From substantial investments of resources and funding for advocacy and coalition-building, to financial sponsorship of important pharmacy association initiatives, Elevate is united with you at both the state and federal level. Elevate members also get access to free resources and opportunities to join our advocacy efforts for laws and reimbursement that will positively impact independent pharmacies.

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What we’re fighting for

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Protecting patient access:

  • PBM reform
  • Elimination of DIR and all other fees
  • Eliminating post adjudication recoupments
  • Timely reimbursements
  • Elimination of below-cost reimbursement for prescriptions dispensed

Expanding patient care:

  • Expanded scope of practice
  • Pharmacist Provider Status
  • Expanded vaccine and testing authority
  • Fair compensation for clinical services rendered beyond dispensing

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A strong supporter of NCPA

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Elevate participates in, and is a major supporter of, the National Community Pharmacist Association’s annual Congressional Fly-in††, contributing a strong voice for independent pharmacy. Plus, we make a substantial financial investment in NCPA’s “The Truth” campaign to combat the PCMA misinformation campaign regarding independent pharmacy.
 
Get involved and add your voice to our advocacy efforts! 
Visit our advocacy site at Our Independent Voice and take action today. 
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“Elevate Provider Network is more than just my PSAO – they are my partner committed to ensuring the survival of my profession.”

- Steve Hoffart, Pharm.D., Magnolia Pharmacy, Magnolia, TX

*Based on 2023 Drug Channels PSAO contracting comparison, June 2023 IQVIA  Rx  growth  report,  and  Elevate  claims  data;  participation  in  major advocacy events, hundreds of federal and state calls to action for provider status, PBM regulation, and DIR reform; subsidized Elevate program offerings, contributions to NCPA and other organizations representing best interests of independent pharmacy, investment in advocacy for independent pharmacy.
††NCPA

Tools

  • DIR Estimator   
  • Star Ratings improvement tools 
  • Patient engagement tools          
  • Adherence tools

Resources

Data Analytics

  • Actionable Rx fill report
  • Controlled drug report
  • Peer comparisons
  • POS transaction report

Participating Vendors

Program Partners

Get in touch

At Good Neighbor Pharmacy, our expert team is aligned in its commitment to your needs and the interests of independent pharmacies across the United States. Want to know more about how Good Neighbor Pharmacy can amplify your brand, simplify your business operations, and protect your independence?