Provider Synergies has experience in both government and commercial environments.
03 February 2017
Updated Virginia page
27 January 2017
Updated Texas page
19 January 2017
Updated Arizona page
10 January 2017
Updated TOP$ page
10 January 2017
Updated Nebraska Medicaid page
03 January 2017
Updated Missouri Medicaid page
Provider Synergies, LLC, an affiliate of Magellan Medicaid Administration, is a premier company in the management of Preferred Drug Lists (PDLs) and the negotiation of Supplemental Rebates for state Medicaid agencies. Our core belief that "better information leads to better decisions" has resulted in the development of clinically sound and financially prudent PDLs for our clients.
On July 1, 2009, Provider Synergies, LLC, became a wholly-owned subsidiary of Magellan Health Services. With the addition of Provider Synergies to the Magellan family, which also includes Magellan Medicaid Administration, Magellan companies now contract with 25 states to provide Preferred Drug List and/or Supplemental Rebate program administration services. The combined resources of Provider Synergies, Magellan Medicaid Administration, and Magellan Health Services allow us to provide expanded, comprehensive clinical services to our clients.
Together, Provider Synergies and Magellan Medicaid Administration manage the PDL for nearly 19 million lives and approximately $15.5 billion in drug expenditures. The companies boast the first and largest two multi-state pharmaceutical purchasing pools in the nation, TOP$ (Provider Synergies) and NMPI (Magellan Medicaid Administration).
Our services include:
We provide our clients with open, accurate and timely information regarding clinical review, rebate generation and other pharmacy benefit agreements.
We work successfully with multiple state claims processors and prior authorization vendors, allowing our clients the flexibility to choose the fiscal agents and other vendors that best suit their needs.
We demonstrate our expertise in developing integrated Preferred Drug Lists (PDLs) and contracting strategies in our past and current performance for our clients. Combining knowledge and understanding of each client's goals together with full disclosure of the clinical rationale and financial opportunities allows Provider Synergies and its clients to more accurately predict the results of each decision that is made.
Provider Synergies administers clinical reviews and supplemental rebate contracting for state Medicaid programs. Read more...