Elevate Provider Network

A pharmacist consults a patient on her medications

Protect your independence

Strengthening our members' presence in managed care and providing a smarter path to profitability with a network that represents more than 5,000 independent pharmacies.

Elevate Provider Network continues to demonstrate an interest in the success of my business. The third-party contracting aligns with my principles and the suite of pharmacy management tools is key to my performance improvements and the simplifying of my business operations.

Jason Turner, Moundsville Pharmacy, Moundsville, WV

With all the changes in healthcare, your pharmacy needs a partner to successfully navigate the managed care maze.


Elevate Provider Network is a proven system that combines actionable analytics, technology and professional services to manage and maximize pharmacy performance while minimizing profit leakage. Our data-driven approach results in the optimal mix of payer contracts for your pharmacy—contracts that don’t sacrifice patient access or profitability.

Stand united with more than 5,000 members when you join Elevate Provider Network. Using our proprietary pharmacy analytics system, we model and negotiate smarter payer contracts with more than 40+ PBMs based on our long-term strategy for managing the impact of preferred cost-share networks. Our intuitive pharmacy analytics software also helps you make better day-to-day decisions to reduce costs and maximize profits.

By leveraging our technology solutions and allowing our managed care experts to handle a wide range of reimbursement issues, you’ll have more time to focus on your patients.

5.8% year-over-year Rx growth compared to 2.4% for non-Elevate members

Note: This is based on information licensed from IQVIA: RxInsight for the period August 2018 – August 2019 vs. August 2019 - August 2020 reflecting estimates of real-world activity. All rights reserved.

Enabling you to concentrate on patient care

Payer contract negotiations that reflect the enhanced value you bring to your patients

With decades of highly-relevant industry experience, Elevate’s expert contracting team negotiates payer contracts based on our long-term strategy of maximizing your viability. We continue to support a multi-faceted approach to managing the impact that post-adjudication recoupments have on our independent pharmacy customers and have taken a stand against excessive DIR fees, GER recoupments, and any other post-adjudication recoupment.

Patient Engagement Center

This patient-centric hub gives you all the data you need to focus your efforts on patients who are non-adherent and may be negatively impacting your performance in the Star measures. It also provides you with one-click access to pharmacy benchmarking reports and EQuIPP outliers, so you can deliver more personalized patient care to those who need it most.

Central Pay services

With Central Pay, you get complete cash flow visibility. There are no trips to the bank for deposits, no lost checks, and available funds are transferred to your bank account 5 days a week. With online access for payment verification, remittance reports, and an accurate historical record of all your deposits, central pay helps you take command of your pharmacy’s cash flow and increase your pharmacy’s profitability.

Peer benchmarking and competitive metrics

See how each area of your pharmacy is performing and make data-driven business decisions to maximize profitability with the help of our proprietary pharmacy analytics system. InSite dashboards benchmark you against your peers, so you know exactly where you stand. Easy-to-read reports highlight key performance indicators, potential audit risks, sync candidates, reversed claims, missed reimbursement opportunities, and more. Star report cards display Med-D claims submitted for a Cholesterol, Diabetes or RASA medication, and lists patients that are not at least 80% adherent. The Star Measures Report can be used to identify patient outreach opportunities to communicate the importance of refilling their medications on time. 

Reconciliation

Reconciling third-party payments can feel like a tedious task that never ends, which is why our solution tracks every reimbursement for you and provides you with the tools you need to chase claims. We make it easy to verify your third-party payments, pinpoint underpaid claims, and prevent missed checks from going unnoticed. Elevate offers a self-service reconciliation option and a full-service Concierge Reconciliation Service option, where you simply verify your payments and FDS Amplicare handles the remaining reconciliation process.

Pre and post edit services

This crucial solution is like spellcheck for your claims. It automatically reviews every submission and makes real-time edits, so small mistakes don’t jeopardize your full reimbursement. Elevate and Change Healthcare have collaborated to create a suite of edits just for independent pharmacies.

Tools and resources

We provide you with easy access to the tools and resources you need to limit the impact that DIR fees have on your pharmacy business, conduct MTMs, enhance patient care and much more.        

                       



With decades of highly-relevant industry experience, Elevate’s expert contracting team negotiates payer contracts based on our long-term strategy of maximizing your viability.

Elevate’s contracting team is focused on your viability with a strategy that reflects the enhanced value you bring to your patients. We continue to support a multi-faceted approach to managing the impact that post-adjudication recoupments have on our independent pharmacy customers and have taken a stand against excessive DIR fees, GER recoupments, and any other post-adjudication recoupment. 
  • We are working diligently on behalf of our independent pharmacies to minimize the impact of these recoupments while maintaining access to patients.
  • Our stance on GER contracts: We AVOID where possible; When we can’t avoid, we DELAY as long as possible; When we can no longer delay, we SCRUTINIZE the data, MANAGE the process, and FIGHT for every dime.
  • We continue to advocate on behalf of pharmacies on critical legislative issues that impact their daily operations, and work to amplify the already powerful voice of the pharmacist.
  • We provide tools and resources, like the DIR Estimator and quarterly estimate notices, to help pharmacies manage the impact of post-adjudication recoupments and the adjustments associated with them.

Pharmacist examining a pill bottle behind the pharmacy counter

Expanding your ability to provide clinical patient care

Hospice Pharmacy Connect

Pharmacist examining a pill bottle behind the pharmacy counter
Our Hospice Pharmacy Connect solution matches local high-quality independent community pharmacies with independent hospice agencies - keeping local caregivers in charge of local care. Hospice patients benefit from best-in-class pharmacy services and clinical support from your pharmacy, while you benefit from fair reimbursement and additional transparency.
Pharmacist examining a pill bottle behind the pharmacy counter
A Good Neighbor Pharmacy managed care expert speaking to legislators

Partnering to champion the independent voice

Advocacy

A Good Neighbor Pharmacy managed care expert speaking to legislators
We’ve developed a palpable presence on Capitol Hill because we feel so strongly about the importance of your voice and your role as a trusted, community-based healthcare provider. Our Government Affairs team works directly with legislative and regulatory bodies to ensure that you can continue to do what you do best—provide the highest quality patient care in the community setting. We also amplify the already powerful voice of the pharmacist with easy-to-use advocacy tools at OurIndependentVoice.com.
A Good Neighbor Pharmacy managed care expert speaking to legislators

Need managed care help? Contact the Elevate Help Desk.


Phone:
 888-880-1388
General Fax: 845-483-1778
Email: elevate@amerisourcebergen.com


Helpdesk Hours

Monday – Friday
9:00 am ET/6:00 am PT – 8:00 pm ET/5:00 pm PT
Hours may vary during National Holidays

Take a proven path to profitability.

When you become part of the Elevate Provider Network, you join more than 5,000 independent pharmacies just as dedicated to their patients as you are. Contact us to join or learn more.