transparency
flexibility
results
expect more...

Welcome

Provider Synergies has experience in both government and commercial environments.

Latest Site Updates

01 July 2009
Added Connecticut SPAP page

25 June 2009
Updated Florida Medicaid page

19 June 2009
Updated Mississippi Medicaid page

04 June 2009
Updated Connecticut Medicaid page

Medicaid Quick Links

Perscription Drugs

Provider Synergies 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 January 1, 2006, Provider Synergies, LLC, became a wholly-owned subsidiary of Coventry Health Care, Inc. With the addition of Provider Synergies to the Coventry family, which also includes First Health Services Corporation, Coventry companies now contract with 26 states to provide Preferred Drug List and/or Supplemental Rebate program administration services. The combined resources of Provider Synergies, First Health Services, and Coventry allow us to provide expanded, comprehensive clinical services to our clients.

Together, Provider Synergies and First Health Services manage the PDL for nearly 14 million lives and approximately $13.5 billion in drug expenditures. The companies boast the first and largest two multi-state pharmaceutical purchasing pools in the nation, TOP$ (Provider Synergies) and NMPI (First Health Services).

Our services include:

  • Preferred Drug List Development, Implementation, and Maintenance. More...
  • Rebate Contracting Services. More...
  • Reports and Consultative Services. More...
  • Medicaid Multi-state Pooling Program. More...

Our Model

Transparency
We provide our clients with open, accurate and timely information regarding clinical review, rebate generation and other pharmacy benefit agreements.

Flexibility
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.

Results
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.

Medicaid

Provider Synergies administers clinical reviews and supplemental rebate contracting for state Medicaid programs. Read more...