PharmPix Corporation
An Agent of Change in the PBM Industry

Founded in 2009, PharmPix provides state-of-the art pharmacy benefit information and management services to health plans and insurers, medium to large employers, union groups, private government health programs, and other PBMs. Martty Martinez-Fraticelli, who has years of experience in the PBM industry is one of the founders of the Company. During his tenure at some of the largest organizations, he witnessed first-hand the need to engage healthcare consumers in a healthy lifestyle and make best-in class care providers and therapy protocols more accessible to them. It did not take long for Martinez-Fraticelli to take a leap of faith and address this requirement with PharmPix.

“Unlike traditional PBMs that focus on just claim adjudication for payment, we ensure the right medication and the right dose for patients at the right time. This paves the way for the better management of pharmacy benefit costs,” says Martinez-Fraticelli, President and Chief Pharmacy Officer at PharmPix.

PharmPix’s OneArkSuite plays a vital role in this goal. The highly secure, HIPAA compliant, user-friendly platform allows clients to better handle the management and oversight of complex pharmacy benefit plans by ensuring that all the members access the right medication. All drug-related issues also remain well documented, facilitating the complex process of pharmacy benefits management.

The OneArkSuite is comprised of multiple modules. The BACMAN module was designed from the ground up to gather all information pertaining to the diagnoses and demographics of the beneficiaries.

The PACMAN module provides sponsors with critical information on pharmacy providers and prescribers. The Cube module helps in creating benefits and making quick adjustments to existing designs and formularies. PharmPix has also architected a security module to ensure role-based access to critical information. This is essential to maintain the integrity of sensitive information.

Upping its ante in the PBM space, PharmPix developed an Electronic Prior Authorization (ePA) portal for all the stakeholders—physicians, pharmacies, and members/ patients. It eliminates the long-standing problem of the information silo. “Physicians have it at their fingertips to make sure that when members visit the pharmacy, the medication is already approved. Needless to say, it becomes much easier for members to access their medications without any delay,” says Martinez-Fraticelli.

PharmPix does not stop there. With years of experience in this space, the company knows that navigating the complex regulatory landscape is often a major hurdle for clients. The Affordable Care Act (ACA), Medicaid, and Medicare are dynamic in nature and subject to frequent changes. To this end, it becomes an uphill task for clients to respond to audits. PharmPix’s solution is a savior in this regard, streamlining the entire documentation process.

PharmPix’s technology is backed by a team of dedicated experts who are available 24/7. “Clients even have mine, as well as the CEO’s phone number, and we are just a ring away to address their needs,” states Martinez-Fraticelli. Coupling this client-centric approach with flexible solutions, PharmPix has not only challenged the status quo of the traditional PBM industry but has taken a great leap toward its modernization.