SERVICES
CLINICAL SERVICES
At NorthStar, we set the standard in cost containment consultation and implementation for government sponsored pharmacy programs. Known for its integrity, ethics, and dedication to innovative processes, NorthStar's individualized solutions begin with an in-depth analysis and understanding of your current drug spend and what drives cost and utilization. From the data, we chart a plan of action that includes flexible and highly defensible programs that will significantly impact your outcomes, operations and budget. This plan of action is devised only after a thorough understanding of the environment in which the program operates. Our clinical and analytical services include these benefits and more:
- Therapeutic class reviews
- Clinical benefit design
- Preferred drug list / formulary development
- New drug evaluations
- Prior authorization development and appeals review
- Medication Therapy Management Programs
- Retrospective drug utilization review
- Prescriber education
- Drug manufacturer point-of-contact
- Rebate negotiation
- Reports and clinical updates
AUDIT SERVICES
As an independently owned company, NorthStar is uniquely suited to perform audits on behalf of our clients. We are not beholden to large corporate oversight or to protect a pharmacy network. Our total program approach includes review of your policy and potential suggested revisions, comprehensive claims review, stakeholder management, and extensive reporting capabilities. We also assist our clients by identifying further opportunities found during the audit process including provider education and system revisions. While firm but fair we are highly experienced with Pharmacy Bill of Rights states.
- Customized pharmacy and DME audit programs
- Comprehensive program and claim review
- Policy evaluation and suggestions
- Stakeholder management
- System processing improvements