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Pharmacy Benefit Management
- Our PBM programme is aimed at optimizing the selection, pricing, and utilization of prescription medications to improve patient health outcomes while managing costs.
- Key Features:
- Formulary Management: formulary management, negotiating discounts with pharmacies, drug utilization reviews, and patient support programs. By leveraging data analytics and evidence-based medicine, we ensure patients have access to safe, effective medications at an affordable price, all while enhancing the efficiency and value of the healthcare system.
- Pharmacy Network Management: AFA has contracted with the largest network of pharmacies in Botswana, to provide members with convenient access to medications at discounted rates.
- Drug Utilization Review (DUR): Monitoring prescriptions to identify potential medication-related issues, including duplicate therapies, interactions, and adherence, to enhance patient safety.
- Cost Management and Rebates: Negotiating with pharmaceutical companies for discounts and rebates, which helps lower costs for both the health plan and members.
- Specialty Pharmacy Services: We have programmes for managing access and support for complex, high-cost medications used to treat chronic or rare conditions.