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Secure Predictable Pharmacy Costs

MavRx’s PMPM Guarantees set an annual pharmacy spend cap that covers all fees, including generic, brand, and specialty drugs—ensuring cost alignment and financial certainty for your plan.

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Revolutionizing Pharmacy Benefit Management

Predictability in pharmacy benefit management isn’t a luxury—it’s a necessity. MavRx’s PMPM Guarantees empower your organization to eliminate financial ambiguity by setting enforceable cost ceilings. This innovative approach ensures transparency, accountability, and alignment with your financial goals. With PMPM Guarantees, you can control costs, drive accountability, and build trust in your PBM strategy

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Key Outcomes

MavRx’s PMPM Guarantees deliver measurable results by:

Ensuring Predictable Costs

Anticipate pharmacy utilization patterns based on claims history and future trends.

Building Trust

Enhance transparency with enforceable cost ceilings that align all stakeholders.

Simplifying RFPs

Streamline procurement with clear, data-backed cost guarantees.

Maximizing Savings

Optimize costs with precise financial modeling and actionable insights.

Why Choose MavRx for PMPM Guarantees?

MavRx is the industry leader in PMPM Guarantees, offering unmatched expertise and innovative tools to simplify PBM management and deliver real value.

Validated Pricing Models

Reprice PBM's with less than a 0.5% variance from real word performance.

Customizable Solutions

Tailor guarantees to your plan’s unique needs for optimal results.

Integrated Oversight

Real time claim tracking, PBM performance dashboard, and independent reconciliation provide peace of mind.

Get a Lower Stop Loss Rate through our MGU Panel

The RateFix Solution, by WriteWise, allows MGU's to write stop loss rates other carriers simply don't know how to write, providing the Plan Sponsor with the lowest rate, guaranteed

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Process in
Steps

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Step 1

Send Claims & Census through our Dynamic GoPricer for results in minutes

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Step 2

Receive a Capped PMPM Guarantee from The MavRx PBM Panel.

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Step 3

Use the PMPM Guarantee to decrement your Global Policy and get a lower stop loss rate.

Take Control of Your Claims Data

Transform your pharmacy claims into actionable insights with MavRx’s Claims Analysis. Discover how data-driven decisions can improve transparency and reduce costs.