PBM Services

Client Web Portal

Our web portal was designed by clients for our clients.  It will provide claims professionals with the tools to assist in making their jobs easier.

KEY FEATURES

• Managing Prior Authorizations
• Red Flags or Alerts
• Risk Scoring and artificial intelligence
• Access to our internal notes system
• Advanced Analytics

Network and Card Options

Alius Health offers one of the largest, most customizable networks in the industry.  With over 74,000 brick and mortar pharmacies, multiple specialty and mail order pharmacies, your injured workers will be able to fill their medications quickly with zero out of pocket costs.

• Text-a-Card
• First Fills Cards
• Virtual Cards
• Hard Cards
• Cardless Program

Clinical Services

At Alius Health patients are not just a number or a case file. We believe the treatment of your injured workers needs to be individualized.  Our clinicians analyze medication histories, create individual formularies, develop transition plans, and help get your injured worker functioning again.

• Intelligent Formularies
• Smart Clinical Alerts
• Pharmacists consults and reviews
• Peer to Peer services
• Prescriber out-reach

Advanced Analytics

Our advanced analytics tool allows our customers to receive reports when they want them and how they want them. Below are some of the more common requested reports.

• High Risk Doctors
• High Risk Patients
• Cost Savings
• Trending Reports
• Ad Hoc Reports

A Patient-Centric Approach

At Alius Health we put  patients first.  When you take care of the patient, the claim takes care of itself. Our Patient Care team is available around the clock, year round to ensure your patients can receive the right medications for their injury.

Your dedicated account manager takes the approach we are only as big as our smallest client.  Each client will receive a dedicated account manager with access to a clinical pharmacist.