PerformRX
PerformRx is a pharmacy benefit management (PBM) organization offering customized PBM administration, clinical programs, specialty pharmacy services, and integrated PBM technology. The company provides Medicare Part D and Medicaid PBM support, medication and drug-therapy management programs, an in-house specialty pharmacy, call center operations, and software tools to support prior authorization and clinical decision workflows.
Industries
Nr. of Employees
Very Large (1000+)
PerformRX
Philadelphia, Pennsylvania, United States, North America
Products
Online prior authorization platform
An easy-to-use web-based prior authorization workflow tool that walks clinicians through PA steps, documents actions, and supports regulatory compliance.
Web-based DTM management platform
A platform used to identify medication-related problems, calculate adherence, trigger outreach, generate custom reports, and communicate across multiple channels to support DTM/MTM programs.
Integrated specialty pharmacy service
In-house specialty pharmacy operations that coordinate dispensing and high-touch clinical support for specialty medication users.
Online prior authorization platform
An easy-to-use web-based prior authorization workflow tool that walks clinicians through PA steps, documents actions, and supports regulatory compliance.
Web-based DTM management platform
A platform used to identify medication-related problems, calculate adherence, trigger outreach, generate custom reports, and communicate across multiple channels to support DTM/MTM programs.
Integrated specialty pharmacy service
In-house specialty pharmacy operations that coordinate dispensing and high-touch clinical support for specialty medication users.
Services
End-to-end PBM services tailored for Medicaid, Medicare, commercial plans, and employer groups, including formulary management, utilization management, and clinical program customization.
URAC-accredited DTM program offering targeted interventions to optimize medication regimens for high-risk members, with customizable outreach and reporting.
MTM program design and delivery including comprehensive medication reviews, multi-channel outreach, and safety/adherence interventions aligned with CMS requirements.
Integrated specialty pharmacy operations providing dispensing, adherence support, disease-state management, and coordination of specialty medication access.
Software tools to streamline PBM workflows, including online prior authorization tools and web-based DTM management platforms with reporting and multi-channel communication.
High-touch call center operations supporting member inquiries, prior authorization assistance, outreach for adherence and preventive care, and proactive engagement to improve outcomes.
End-to-end PBM services tailored for Medicaid, Medicare, commercial plans, and employer groups, including formulary management, utilization management, and clinical program customization.
URAC-accredited DTM program offering targeted interventions to optimize medication regimens for high-risk members, with customizable outreach and reporting.
MTM program design and delivery including comprehensive medication reviews, multi-channel outreach, and safety/adherence interventions aligned with CMS requirements.
Integrated specialty pharmacy operations providing dispensing, adherence support, disease-state management, and coordination of specialty medication access.
Software tools to streamline PBM workflows, including online prior authorization tools and web-based DTM management platforms with reporting and multi-channel communication.
High-touch call center operations supporting member inquiries, prior authorization assistance, outreach for adherence and preventive care, and proactive engagement to improve outcomes.
Expertise Areas
- Pharmacy benefit management
- Medication Therapy Management (MTM)
- Drug Therapy Management (DTM)
- Specialty pharmacy management
Key Technologies
- Clinical decision support platforms
- Prior authorization workflow software
- Web-based DTM management platform
- Cloud-based telephony
News & Updates
Article describing call center operations, performance metrics, workforce management, telephony, CRM integration, and the role of proactive outreach in PBM performance.
Discussion of 2025 MTM eligibility changes, safety measure elevation to Star Ratings, risk-adjusted adherence scoring, and scaling MTM operations and technology.
Overview of gene and cell therapy advances, cost and access challenges, outcomes-based payment models, and strategic implications for PBMs.
Analysis of barriers to specialty medication access and facilitators such as telehealth, patient assistance programs, integrated care models, and policy shifts.
Explainer on digital therapeutics (DTx), regulatory/reimbursement considerations, integration opportunities, and actionable tips for pharmacists and managed care professionals.
Description of a pilot integrating pharmacogenomics into DTM for cardiovascular patients, expected clinical benefits, and implementation challenges.
Article describing call center operations, performance metrics, workforce management, telephony, CRM integration, and the role of proactive outreach in PBM performance.
Discussion of 2025 MTM eligibility changes, safety measure elevation to Star Ratings, risk-adjusted adherence scoring, and scaling MTM operations and technology.
Overview of gene and cell therapy advances, cost and access challenges, outcomes-based payment models, and strategic implications for PBMs.
Analysis of barriers to specialty medication access and facilitators such as telehealth, patient assistance programs, integrated care models, and policy shifts.
Explainer on digital therapeutics (DTx), regulatory/reimbursement considerations, integration opportunities, and actionable tips for pharmacists and managed care professionals.
Description of a pilot integrating pharmacogenomics into DTM for cardiovascular patients, expected clinical benefits, and implementation challenges.