Strategic Pharmacy Pricing Analytics

Data-driven pharmacy pricing that delivers consistency and results

ElevatePFS Strategic Pharmacy Pricing Analytics (SPARx) helps health systems take control of pharmacy pricing by transforming a complex, manual process into a data-driven strategic capability. By integrating key inputs such as acquisition cost, drug classification, and utilization, SPARx enables more precise, consistent, and defensible pricing decisions aligned to both 340B program requirements and payer reimbursement models.

With this foundation, organizations gain greater visibility into pricing drivers and financial impact, enabling pharmacy and finance leaders to align pricing strategies with compliance requirements while supporting long-term margin performance.

We work all accounts specified by the provider at an agreed-upon frequency. Our team immediately begins identifying reasons for claim denial or rejection and following up to obtain documentation for billing or re-billing. We track Medicaid, Medicare, and commercial health insurance coverage and billing deadlines, and all claims are prioritized according to timely filing deadlines, write-offs, patient transfers, and potential for collecting.

As a value-added service, our proprietary screening software scrubs all accounts with no identified health insurance coverage against commercial and government payer databases to locate coverage that may have been available at the time of service. When coverage is identified, we then bill the appropriate payer or Medicaid program and collect on behalf of the hospital.

The Elevated Difference

1

SPARx transforms pharmacy pricing from a reactive process into a disciplined, data-driven strategy by aligning critical inputs with payer and regulatory requirements to improve consistency and control.

2

Our solution provides clear visibility into how pricing decisions are made and how they impact margin performance, enabling more informed, defensible decisions across pharmacy and finance teams.

3

By reducing reliance on manual processes and fragmented workflows, SPARx improves efficiency while enabling more scalable and consistent pricing practices across the organization.

4

ElevatePFS combines advanced analytics with deep healthcare expertise to help organizations implement sustainable pricing strategies that support compliance, transparency, and long-term financial performance.

A Partner You Can Trust
for Unmatched Results.

ElevatePFS® delivers outstanding results. With more than 2,500 client facilities and a 95% client retention rate, we’re a proven partner that you can count on.

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