Pharmacy Benefit Management
Prevention-First Payment Integrity with Proven Generative-AI Driven Solutions
Enhance Healthcare Affordability. Maximize Program Value.
Proudly reducing healthcare costs for
and trusted by top healthcare payers, government agencies, and pharmacy benefit managers (PBM/PBAs)
Early Intervention Transforms Pharmacy Benefit Management Cost Containment Outcomes
Today’s pharmacy benefit management organizations face mounting pressure to control prescription drug costs while ensuring payment integrity. However, they face complex challenges including: skyrocketing pharmacy costs, massive volumes of unstructured data, and staying ahead of evolving prescription fraud schemes.
Traditional methods of healthcare payment accuracy, fraud detection, and pharmacy audit often miss critical opportunities for cost containment in healthcare.
Codoxo’s generative AI-powered solutions enable pharmacy benefits management organizations to combine early detection capabilities with comprehensive payment integrity solutions.
Built on our generative AI-driven Unified Cost Containment Platform, we deliver measurable results through:
- Advanced pharmacy audit & prescription validation
- Comprehensive program integrity
- Detection of emerging pharmacy & prescriber fraud, waste, & abuse
- Compliance with CMS Part D regulatory requirements
Maximize Value Across Pharmacy Operations
Optimize drug spending
Enhance program integrity
Prevent healthcare fraud
Reduce operational costs
Maximize cost savings
With comprehensive postpayment analysis
Smarter Healthcare Cost Containment Starts With Codoxo
Codoxo’s products, services, and solutions for Pharmacy Benefits Management organizations are delivered through our Unified Cost Containment Platform, empowering healthcare organizations to take a seismic shift left by ensuring faster, more accurate claim payments, reduced fraud, waste, and abuse, and enhanced operational efficiency. By transforming the landscape of healthcare cost containment and payment integrity with industry-leading AI, Codoxo is at the forefront of making healthcare more affordable and effective.
