Zynchros Commercial Plan Pro™
Your ability to be flexible and aggressive with pharmacy benefit design helps you win business. Your ability to effectively manage and communicate the resulting formulary coverage maintains your design intent. With Zynchros® Commercial Plan Pro™ you can easily apply English-language rules, see the immediate impact of your benefit design upon your formulary and deliver accurate formulary information throughout your entire pharmacy benefit chain.
There are 14 different areas for rules definition based upon the fields provided by the Medi-Span® MDDB® plus an additional 20 fields for user-defined criteria. It is fast, accurate, logical and puts you squarely in control of your pharmacy benefit design process.
Total Control for Transparent Adjudication
You can define and manage drugs and tiers for prior authorization, step-therapy protocols and specialty pharmacy items. Greater management of drug and tier detail allows you greater control over prescribing compliance and the adjudication of your members’ claims.
We update the drug database and your rules apply them automatically. You are not required to edit at the individual drug level (although if you want to, you can). The system will apply updates to a work-in-progress file and you can publish changes on your schedule.
Custom Review Workflows
You can customize review workflows to ensure your team has the opportunity to review work-in-progress files prior to publishing a new or updated formulary. Now you can easily enforce your quality control processes.
Publishing and Automated Distribution
Once approved new or updated formularies are formally published for use. Publishing can be used as an event trigger to automatically and electronically deliver your approved formulary to member/provider websites, electronic prescribing networks and benefit administrators.