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Veridikal offers Pharmacy Benefit Administration (PBA) services to our clients that have a need to adjudicate or administer claims without using an outside PBM. These services are used for 340b claims processing for Covered Entities and their contract pharmacies; Audit Protocols for validating reimbursement contracts; Part A Facility Billing for LTC, SNF, ALF; Correctional Facilities Direct Billing; and Charity and Cash BINs.

Veridikal provides our program at 50% over other PBM related services and we help you build "Trust" with your affiliated organizations and patients.

Reporting and the dashboard allow for integrated business intelligence.

Included Benefits

  • Track your Claim Detail
  • Facility Performance and Providers Statistics
  • Negotiated Pricing By Source
  • Custom Dispensing Fees
  • Custom Fixed Fee Schedules
  • Real-time View of Pending Charges
  • Invoices and Historical Statements
  • Download into Multiple Formats
  • Manage Medication Spend "At a Glance"
  • Custom Formularies and MAC Schedules
  • Custom Business Rules by GPI & Product IDs
  • Custom Reporting and Dashboard
  • Equivalents and Saving Reports
  • Real-time/Batch Adjudication
  • Custom Business Rules
  • Online Reporting
  • Custom Facility/Client Reporting

Client Testimonials

John Saliba

President, Saliba's Extended Care Pharmacy

"Saliba Pharmacy was utilizing a PBM charging over $0.50 cents per transaction for basic adjudication logic. Veridikal was able to come in at a substantial savings and provide a completely customized Part A adjudication process for each of my LTC/SNF facilities. This program has built trust with my facilities that the contracted rates are being applied, improve reporting on an integrated dashboard, and automate my monthly Part A Facility Invoicing Process. Veridikal has been flexible with custom pricing by GPI, Custom MAC Schedules, Custom Formulary, and Business Rules to support our business. We highly recommend the Veridikal Professional Team and PBA ReAssureRx program."

Michael Rudolph

Executive Director, USC School of Pharmacy

"USC utilizes the PBA services for our Student Health and Cash BINs. This service had allowed our organization to setup benefit plans and directly administer our own programs."

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