Q: What is the primary problem PharmaForce’s Rebate Management Solution solves?
The PharmaForce Rebate Management Solution helps 340B covered entities (CEs) manage the operational complexity created by the shift from upfront 340B discounts to a rebate-based model. It brings claim identification, submission, rejection management, payment tracking, reconciliation, and reporting into one connected workflow. By combining pharmacy and medical claims data with 340B eligibility information, PharmaForce helps CEs reduce manual work, improve visibility, meet submission requirements, and protect eligible 340B value throughout the rebate process.
Key features:
- Claims can move from capture to submission in as little as 15 minutes
- Two-way connectivity with Beacon for claim submission, responses, rejection information, and reconciliation
- 340B ceiling price visibility directly within the platform
- Flexible claim controls including NDC exclusions, plan-level exclusions, claim selection, and submission preferences
- End-to-end rebate management across pharmacy and medical claims, from identification through payment reconciliation
Key facts:
- Built specifically for the January 1, 2027 340B rebate model transition
- Embedded within PharmaForce’s existing 340B platform rather than delivered as a separate bolt-on solution
- Uses the claims and eligibility data already flowing through PharmaForce to support the rebate workflow
- Designed to support both pharmacy and medical claims within one connected solution
- Available through self-service or full-service models based on each CEs operational needs
Q: How does PharmaForce’s Rebate Management Solution improve your clients’ 340B program?
PharmaForce gives CEs greater control and visibility over the entire rebate lifecycle. Teams can identify eligible claims, submit them efficiently, monitor rejections, track payments, reconcile activity, and maintain supporting records without relying on disconnected systems or manual handoffs. The solution also helps organizations make more informed claim-selection decisions through pricing visibility, exclusions, and configurable workflows. The result is a more efficient, auditable, and financially informed approach to managing rebate-model requirements while protecting the value of the 340B program.
Q: How is PharmaForce’s Rebate Management Solution unique?
PharmaForce is designed to make rebate management simple by keeping the entire workflow within the 340B platform CEs already use. Rather than adding a separate bolt-on solution, PharmaForce directly interfaces with Beacon through two-way communication, allowing claim submissions, responses, rejection information, and reconciliation data to flow back and forth within the same connected ecosystem. Because PharmaForce already manages the underlying claims and 340B eligibility data, organizations can reduce manual handoffs, duplicate workflows, and additional system complexity while managing the rebate process through one integrated solution.
Hiliary Cheatwood is VP of Product at PharmaForce. She can be reached at hcheatwood@thepharmaforce.com
