Benefit Management
MaxCare was organized in 1985 to provide efficient, effective, cost-controlled administration of managed care prescription drug programs.
MaxCare is committed to cost containment strategies and information management. Known for its superior level of service, MaxCare is committed to providing the administrative services necessary to meet desired levels of program benefit while controlling the overall program cost.
Through its member pharmacies, personal pharmacy service of the highest quality is provided to the patients they serve. The MaxCare network includes more than 450 pharmacy members in the state of Oklahoma. MaxCare also has an extended national provider network with more than 45,000 pharmacies--including many independent and chain pharmacies.
Because pharmacies can submit POS claims 24 hours a day, seven days a week, our customers can develop complex prescription drug benefit plans than can save money while improving the quality of service and care to their members.
MaxCare developed the first totally paperless electronic claims processing system in 1989 for a statewide client in Oklahoma. MaxCare continues to be a leading innovator in management and cost containment strategies such as:
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Member Pays Difference Logic OTC Alternative Programs Therapy Protocol Program Logic On-Line Customer Support Formulary Management On-Line Drug Utilization Review |
Retrospective Drug Utilization Review Drug Therapy Profiling Physician Profiling Patient Profiling Pharmacoeconomic Analysis |
These cutting edge technologies have enabled us to manage and provide cost containment strategies for state and local government plans, HMO’s, PPO’s, Self-Insured Employer Groups, TPA’s and insurance companies.
For additional information on our Prescription Drug Programs, e-mail us at maxcare@maxcarerx.com or call us at 1-800-259-7765.