Pharmaceutical benefits can be complex, expensive, and fraught with requirements.

Phoenix PBM offers information, resources, and guidance to take the stress out of managing your benefits.

Our team spends every day focused on this industry. We translate that experience you in a way that is clear, specific to their needs, and actionable. Use the glossary to find terms and definitions that will help you understand your plan and ask informed questions. Use our claims evaluation tool to gain the confidence that you are getting the prescription benefits solutions you need at the fairest price.

Corporate Overview

Learn how Phoenix is simplifying complex healthcare solutions and creating successful, affordable prescription benefits programs for our clients and their customers.

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Glossary

Access an alphabetical listing of industry keywords and definitions.

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MAC Appeals/Updates

To make a MAC appeal please email quality@phoenixpbm.com and provide the following information:

  • Pharmacy NPI/NABP
  • Pharmacy Name
  • Pharmacy Chain
  • Rx Number
  • Rx Date
  • NDC Number
  • Drug Description/Name
  • Quantity filled
  • Adjudicated Price
  • Purchase Price

We will review your request and provide you with a response of our findings. If you wish to request a current MAC list, please make a request via email to quality@phoenixpbm.com. Requests will be reviewed, and any information will be provided based on contract terms and state regulations.

Contracting

For Contracting inquiries please contact quality@phoenixpbm.com.

Pharmacy Savings Card Program

Phoenix Benefits offers a pharmacy specific savings cards program for our network pharmacies. If you want a way to incentivize your cash paying patients, ask us about our program. We will structure the discounts specific to your needs and charge you a small per claim fee for the services.

Questions? Let’s talk.

Phoenix is a committed, responsive partner who listens first and works hard to address your needs so we can succeed together. How can we help you?

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