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RxAdvance Wins Avera Health Plan Pharmacy Benefit Management (PBM) Contract

RxAdvance won Avera Health Plans’ Pharmacy Benefit Management (PBM) contract to reduce overall pharmacy costs, avoidable drug-impacted medical costs, and optimize specialty drug utilization.

Southborough, MA – November 1, 2015 – RxAdvance today announced that Avera Health Plans has awarded multi-year pharmacy benefit management (PBM) services contract to RxAdvance. This contract establishes RxAdvance as the PBM for the Avera Health Plans’ fully insured members starting Jan. 1, 2016. This agreement aligns with Avera Health Plans’ commitment to offer innovative and cost-effective coverage for members with RxAdvance’s comprehensive PBM services that deliver overall pharmacy and avoidable drug-impacted medical savings, while streamlining the specialty spend. Collaborative PBM Cloud™, the game changing platform behind RxAdvance’s services deliver actionable intelligence to prescribers at the point-of-care, to pharmacists at the point-of-sale, proactive member engagement through mobile cloud and health plan clinical/pharmacy staff engagement through their workflows.

The PBM services agreement leverages RxAdvance’s fully integrated Collaborative PBM Cloud™ platform to provide a holistic medical and pharmacy care solutions that deliver better outcomes and cost savings for Avera Health Plan members. Pass-through pricing, low admin fee, complete transparency, granular benefit design, intelligent clinical rule configuration for optimal drug utilization, unlimited formulary tier design and superior member experience through mobile cloud are a few of the many services delivered through this agreement.

“Compared to our past PBM challenges while we were using few large PBMs, our experience to-date with RxAdvance has been very collaborative. Avera Health Plans is excited to partner with RxAdvance to deliver the most cost effective and innovative pharmacy solutions to our members through their holistic approach. The Collaborative PBM Cloud™ platform’s ability to integrate all pharmacy, medical and lab information to maximize the health outcomes for our members was a key criteria for selecting RxAdvance. RxAdvance provides Avera Health Plans with dynamic and fully user configurable solutions enabling our clinical and pharmacy staff to better engage members throughout our care delivery continuum,” said Avera Health Plans’ Director of Medical Management Christine Lounsbery.
“Our commitment to redefine the PBM value proposition to plan sponsors has been fully embraced by Avera Health Plans. I believe together, we will pave the path to create an industry standard of PBM-plan sponsor collaborative partnership model that reduces overall pharmacy costs, avoidable drug-impacted medical costs and optimize specialty spend” says Ravi Ika, Founder & CEO of RxAdvance.

About Avera Health Plans
Avera Health Plans was created in 1999 to be a health plan that offers more than just traditional health insurance coverage to the employees of Avera Health. Avera Health Plans provide the most cost-effective, innovative health plans for 80,000+ members in South Dakota and northwestern Iowa. Avera Health Plans is on the Marketplace – providing plans that reflect some of the lowest monthly premiums for South Dakota and provides tax credits and financial assistance with monthly premiums or co-pays. Avera Health Plans is headquartered in Sioux Falls, SD. For more information about Avera Health Plans visit www.AveraHealthPlans.com.

RxAdvance is now nirvanaHealth.

Since 2013, the RxAdvance team has been dedicated to disrupting the healthcare industry, specifically in pharmacy benefit management. After 3 years of development, we went live with our first client in 2016 and delivered groundbreaking pharmacy benefit management services. Now that we have proven success year-after-year, we have decided to expand our impact beyond just the PBM industry—onto the payer industry. These two industries alone control the majority of the healthcare spend in the United States, including the $900+ billion of waste generated annually. With our expansion into a new portion of the industry, we have outgrown the RxAdvance name, since it does not accurately capture the scope of our healthcare reach and mission. We are excited to announce our new name and brand—nirvanaHealth. The RxAdvance name has served us well for many years and will continue to do so under nirvanaHealth.