BUSINESS INSURANCE DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS: RPosted On: Aug. 2, 1998 12:00 AM CST
724 Elm St., West Bend, Wis. 53095; 800-926-5858; fax: 414-338-5767
PBM gross revenue$6,000,000
Percent of prescription volume4%
Percent of prescription volume49%
Includes: 5 registered pharmacists
PBM services since: 1985.
Parent: The F. Dohmen Co.; primary business: prescription benefit management.
Services: Retail pharmacy network, claims processing, online claims processing, concurrent utilization review, retrospective utilization review, benefit design consulting, formulary management/review*, monitoring of physician prescribing practices.
Formularies offered: Open, closed, restricted/customized.
Pharmacies contracted: Independently owned; retail chains, including Osco, Revco and Walgreens.
Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization, mail vs. retail detail reports, executive summary, pharmacy billing summary, claim detail.
Service area: Nationwide.
Billing methods: Fee per claim, per member per month.
Officers: Michael W. Clark, president; David Kwasny, vp-sales/marketing; John Bergan, vp-information systems; Ann Larkin, controller.