CIS desires to partner with an organization to provide Pharmacy Benefit Management Services for their Prescription program. The services shall include, but are not limited to: Electronic and paper claims processing and payment Comprehensive and timely support of data exchange Pharmacy network contracting and management Rebate contracting and administration Clinical support and clinical program management Step Therapy, Quantity Level Limits, Prior Authorization programs Standard and Ad Hoc monthly and quarterly reports Web-based reporting and operations tools Benefit design and implementation services Eligibility administration Member ID Cards Dedicated Account and Clinical management team with executive level sponsorship Toll free customer service; toll free pharmacy help desk; robust member portal On-line Coordination of Benefits Pharmacy Audit and FWA (Fraud, Waste and Abuse) programs Specialty Manufacturer Assistance Programs
