MANAGEMENT TOOLS

The Management Dilemma
No matter if you are an employer, pharmacy director, financial analyst or a plan fiduciary you appreciate the complexity of tracking and managing a pharmacy program. TRICAST Management Tools deliver true answers to program performance. Our reports provide you the opportunity to create process and quality improvements to the pharmacy program by providing ongoing analysis of program delivery hot spots – including but not limited to pricing performance, plan management, drug trends and rebates.


TRICAST Management Tools provide clear, concise and independent analysis that goes well beyond PBM self-reporting of dollars and utilization. Utilization and financial management are your responsibility and are important to you and the health your organization.


TRICAST reports arm you with the information you need to be fully informed and poised to manage your program.

ClaimCheck
Inconsistencies are identified in PBM invoices with TRICAST ClaimCheck. A typical program manager may have difficulty in resolving invoice issues. This product gives the manager the tools they need to resolve complex invoice issues.

Retrospective Audit & Resolution
We have three levels of
Retrospective Audit, all of which
involve re-adjudication of 100%
of your pharmacy claims for both private company and governmental programs, including Medicaid and Medicare Part D.

Compliance
An annual claims review for
contract and plan design
compliance.

Process Improvement
Eligibility is added to claims to
validate program effectiveness
for both the PBM and overall
management.