Payer Solutions

CPESN® pharmacies are clinically integrated, performance based, and willing to be held accountable. Value contracting is made easy for Payers, Partners, and Purchasers with a single agreement covering 49 networks of more than 3,500 independent community pharmacies in 44 states. In Iowa, we are the second largest group of pharmacies!

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CPESN Pharmacies provide enhanced patient care services

that go beyond medication dispensing. 

With our clinically integrated network of community pharmacy healthcare providers, you and your high-risk employees will benefit from our hands-on experience engaging and caring for patients with diabetes and other chronic diseases. We can also: 

  • Help close medication adherence gaps with healthcare partner collaborations. 

  • Offer medication and opioid management

  • Work with at-risk patients through pharmacist led interventions

Solutions for Payers

Commercial Insurers

Keeping patients healthy by providing individualized health service to commercial plan members. 

Medicaid

Our pharmacies can help their local Medicaid patients be more adherent through medication reviews, and addressing challenging health issues. 

Managed Care Organizations (MCOs)

We focus on decreasing the cost of patient care through improved access and health risk reduction programs. 

Medicare

Our pharmacies work with Medicare Part D and Medicare Advantage plans across the state to improve total cost of care through high-touch patient care services. 

CPESN EngageRx® Services

  • Social determinants of health screenings

  • Health risk assessments

  • Pharmacy health status monitoring services

  • Point-of-Care testing

  • Immunizations

  • Comprehensive adherence programs

  • Care coordination

  • Medication therapy management

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