Payers

A smarter approach to specialty pharmacy.

In the complex, time consuming and expensive world of managing specialty pharmacy care, VytlOne, has 40+ years of working together to deliver outstanding member-centric pharmacy care. We look deeper into the data to deliver actionable insights that can help improve clinical and financial outcomes.

Helping to keep members’ spirits up and overall costs down.

Using data-driven analytics and insights, we put patients first by continuously adapting to patient and payor needs. Our collaborative approach brings you, your patients, providers and manufacturers together, combining pharmacological and clinical expertise to improve both financial and clinical outcomes.

Our clinical analysis team evaluates adherence rates, identifies gaps in care and intervention opportunities to better manage patients and their conditions. It all comes together on our reporting platform, which delivers real, actionable insights that deliver value at every step.

Partnering with payors to create excellent care models.

Our clinical coordinators and pharmacists work alongside your own team to bring the focused treatment for Rare & Orphan and Chronic Conditions diseases members need, while gaining new ways to manage spend.

Comprehensive analytics

VytlOne identifies individual cases that require escalation and clinical interventions; waste mitigation and cost avoidance; patient compliance; and appropriateness of therapy. We provide the insights and learning that can change the way we do business, improving outcomes for patients and providing our business partners the information they need to succeed.

Fully integrated benefits.

We bring full support to integrate medical, pharmacy and specialty benefits to improve the patient experience. Our reimbursement specialists work with your team and your patients’ providers to ensure accurate coding translation and conversion of J codes, HCPCS codes and NDCs.

Clinical support and patient education

Our clinical expertise is unmatched in the industry. We collaborate with major teaching hospitals and practices nationwide to bring you and your patients the clinical advice and direction they need to make smarter, more informed decisions. In addition, our robust Patient Education Library engages and informs patient about their treatment and increases adherence – a critical component of our strategy.

Prior authorization assistance

Reducing the time it takes for a patient to initiate therapy is one of our biggest priorities. We work with you to customize the patient/provider/payor experiences when working through the prior authorization process.

Personal member service

Our 98%-member satisfaction rate comes from our dedication to taking stress off the patient. Every order is shipped overnight, with tracking and delivery verification. Our case managers take the time to get to know the patients in their care to deliver more focused, personal care – including follow-up and reminder calls. When patients have questions, pharmacists are available 24/7 to provide answers.

Enhance your pharmacy program with 
network benefits from VytlOne.

Payor/Reimbursement: 1 (800) 436-9724
Contact Us
Scroll to Top