The PBM That Shops For You
AI-powered, customizable, and built to lower costs.
Introducing...
OpenPBM.ai is built from modular solutions you can turn on or off to fit your plan — all working together to cut costs and improve care.
PBM
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OpenPBM.ai is the first comprehensive AI-driven Pharmacy Benefits Management Platform. The features listed on this page are each available individually or as a complete package.
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Once you are enrolled with OpenPBM.ai, you will set your preferences for which programs are available to each of your plans. Then our platform automatically matches each prescription with all the available programs, following your order of operations and specific instructions.
The first AI-powered Pharmacy Benefits Management platform
Concierge Care
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Telephone, email, and text support for your members
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Staffed by licensed pharmacists and nursing staff
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White-glove support and patient assistance
White-glove service for your members
Cost Containment
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Cash and Discount Card Networks
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Mark Cuban Cost Plus
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GoodRx
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340B
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Importation
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Copay Maximizer
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Patient Assistance Programs
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Mail Order
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Compounding Pharmacies
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340B
Cost optimization across all available sources
Clinical Programs
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A broad range of clinical programs
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Evidence-based metrics guide adoption and growth
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Get oversight into your members' participation
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Improve outcomes by aligning eligible members
Evidence-based
clinical programs
Utilization Management
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Clinical Prior Authorization
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Concurrent, Prospective and Retrospective UM with Academic Detailing
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Fraud, Waste and Abuse
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Pharmacy Audit
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Formulary Alternatives
Automated decision-making and oversight engine
Prescription Auctions
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Our network of pharmacies opt-in to bid on your prescriptions
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We reduce their time-to-reimbursement from months to hours to incentivize them to provide the best price
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Auctions are conducted in real-time and pricing reaches the patient before they go to the pharmacy
Pharmacies compete for your prescriptions