NEChealth Networks
Home Contact Search NEC Search
HIPAA Services About NEC Online Plans

NEC Networks Services
> Claims Processing & Network Services Patient Assistance / Replenishment Programs
Pricing
NEC has contracts with over 50,000 pharmacies nation-wide. These rates are some of the most aggressive in the industry.
Pricing is established using a discount off of Average Wholesale Price (AWP). AWP is a set price by the pharmaceutical industry trade. There is only one AWP for any one particular drug and strength. Specialized pricing for many generic drugs is also used. These prices, although triggered by AWP, are basically flat rates at that moment in time for that drug. Most generic drugs are Maximum Allowable Cost (MAC) priced. MAC pricing ultimately saves the health plan money by limiting the reimbursement rate on individual products, while at the same time encouraging generic utilization.
What's more, NEC has special rate contracts for the dispensing of patient assistance drugs and program inventories.
Account Management
Benefit Design
Claims Payments
Claims Processing
Clinical Services
Drug Utilization Reviews (DUR)
Formulary
Help Desk/Customer Service
Mail Order
Payer of Last Resort
Pharmacy Network
Prescription Cards
Pricing
Rebates
Reporting
       
COPYRIGHT 2002-2009, NEChealth Networks, All Rights Reserved