Formulary Part D Analysis

Xcenda can help you understand formulary coverage, restrictions, and plans available for your product, as well as competitor products to help clients better manage payer accounts by prioritizing select payers. Based on the number of plans offering the Part D benefit, wide variation in formulary placement for products is possible.  As new competitor products, come to market, it is important to understand how a new product may be positioned relative to currently available products. We can assist in monitoring the impact of product launches across drug classes as well for competitor products.

Related reimbursement strategy consulting areas:

• Health policy analysis
• Reimbursement launch strategies and tactical plans
• Coding analysis, strategy, and coding applications
• Payer mix and payer segmentation analysis
• Payer policy research and analysis
• Managed care strategies
• Compendia strategy, surveillance, and submission
• Provider reimbursement analytics
• Provider coding and tools
• Part D formulary analysis  
• Patient TrOOP cost modeling
• Regimen payment analysis and modeling
• Patient Assistance Program analysis and exposure modeling
• Distribution analysis and distribution strategy
• Medicare Administrative Contractor (MAC) and Recovery Audit Contractor (RAC) strategy, tracking tools, and action plans