Provider Synergies, LLC
Together, we can do more.
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
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...