Is Your PSAO Truly Working in Your Best Interest?
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Has your pharmacy ever been reimbursed far below cost—only to be told it’s “permissible per the contract”? Many independent pharmacies have grown frustrated with the lack of support and transparency from their PSAOs or PBMs.
The Landscape Has Changed
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Over 75% of independent and small chain pharmacies are aligned with PSAOs owned by the “Big Three” wholesalers—AmerisourceBergen, Cardinal Health, and McKesson. That leaves a few large organizations responsible for supporting over 15,000 pharmacies. With limited staffing and growing complexity in reimbursement models, many pharmacies are left navigating on their own.
Independent PSAOs, while unaffiliated with wholesalers, often lack the infrastructure to provide consistent, hands-on support. Both options can leave gaps in strategy, communication, and execution.
A Lighter, More Strategic Approach
ICBN PSAO Lite exists to remove the confusion around pharmacy reimbursement and third-party contracting. The focus is on demystifying contracting terms, enabling a clearer understanding of how reimbursement decisions are made—and how they can be improved.
Services are shaped around pharmacy needs, whether that includes:
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Evaluating how effective rates impact claim payments under PSAO-specific true-up methodologies.
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Analyzing product mix to identify potential refund opportunities.
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Considering the impact of direct contracting with PBMs like Express Scripts or Caremark.
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Identifying rural contracting opportunities and understanding related risks.
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Assessing how changes in ownership or PSAO affiliation could affect reimbursement or store valuation.
“A simple understanding of a complex process.”
— Ajay Mehra, UGO, Founder
Focused, Practical Insights
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ICBN PSAO Lite delivers contracting support on your terms. Whether it's reviewing contracts, offering periodic analysis, or building a framework for strategic decision-making, the goal is clarity—not dependence. Pharmacies retain control, with better data and sharper tools for navigating change.
What You Can Expect
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In-depth contract reviews with a focus on profitability.
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Business performance tracking aligned with your specific KPIs.
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Strategic roadmaps to guide improvements in reimbursement and patient/product mix.
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Guidance on current solicitations and their potential impact.
Clarity, Not Complexity
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Managing a pharmacy today means facing uncertainty, from reimbursement volatility to regulatory shifts. ICBN PSAO Lite helps bring order to the chaos—without overcomplicating the solution.
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