SERVICES
Commercial Operations Support
Program Services
Prescription Analytics serves as a virtual analytics department supporting market access initiatives, sales administration, contracting, product planning and rebate forecasting activities. Services include but are not limited to the following:
Pricing and Contracting Support
- Maintain centralized database with rapid access to all contract pricing and terms
- Perform due diligence and pre-deal financial analysis of contracting opportunities
- Initial and ongoing price and contracting notifications to all internal and external stakeholders
- Gross-to-net reporting by product, payer, and/or channel
- Monitor formulary positioning and PDL status
- Review and present GNUP or % of WAC offers for PDL Access
- Perform insight mining to support product launch market assessment using client or client subscribed data
Partner / Resource Assessment and Coordination
- Assess third-party partner requirements
- 3PL analytics and evaluation
- FDA SPL submissions
- Collateral material design
- Ongoing updates/modifications
Scenario Forecasting and Rebate Liability Impact Analysis
- Forecast future Medicaid and Medicare rebate liability to support accrual and reserve processes
- Identify net upside and additional rebate, URA and PHS liability relating to list price increases
- Determine Best Price and other contracting decisions impact on government pricing
- Assess the overall financial impact various contracting terms and rebate structures will have on government business
- Forecast future non-government rebate, discount, and administrative fee liability to support accrual and reserve processes
Sales Reporting
- Create detailed launch checklist
- Create sales projections and forecasts
- Ad hoc sales reporting by customer, channel and/or product
- Track high-level profitability/sales growth and perform deep dives into territories, accounts, or products
Market Analytics
- Aggregate market data to determine volume and share across market baskets
- Analyze Managed Care claim data and generate dashboards showing category market share, formulary positioning
Supply Chain Management
- Forecast demand planning for production/packaging teams
- Create ex-factory/market demand forecasts and continually update to reflect new contracting events
- Support inbound receiving and regulatory group in managing timely FDA release of imported product
- Distribution strategy support and analysis
Procedure Development and Management
- Establish contract lifecycle workflow and governance process from proposal request through execution of agreement.
- Set guidelines for profitability and pricing based upon market conditions, committee involvement and approval process.
- Domestic and international importing and FDA quarantine release
- Outbound shipping and order allocation release
Gross-to-Net Computations
- Document adjustments to gross revenues
- Incorporate customer-specific fees and rebates
- Accrue for other cost including returns, shipping and COGs as appropriate
Commercial Contract Management, Rebate and Discount Reconciliation Services
- Develop and maintain policies and SOPs at program and contract levels as required
- Commercial rebate and claim validation procedure
- Create, accept, and store contract master profile data used for validation
- Manage connectivity and data exchange web portals or receipt of data media as required
- Data decryption and cleanup
- Validate rebate amounts invoiced are correct based upon contracted business terms
- Create client rebate reconciliation and payment report for approval/payment
Advanced Insights, Analytics and Reporting Services
- Quarterly Business Review (QBR)
- Macroeconomic environment
- Regulatory updates
- Government pricing and rebate liability analytics
- Commercial contract re-cap including pricing and competitive analytics
- Monthly Commercial Contract Reporting (CCR)
- Analytics and reporting based upon client & subscription data access
- Formulary analysis (percent of business each formulary type represents)
- Account analysis (percent of business contribution at account level)
- Sales/Utilization analysis (percent of enrollment)
- Market share and competitive analysis
- RX utilization analysis
Tools and Experts to Support Your Unique Needs
Our team of experts leverages a library of proprietary tools to support you in making data-driven, informed decisions in your commercial business. We tailor our tools to meet your unique business needs.
Available tools and offerings include:
- Government Value Forecasting Models
- Gross-to-Net Calculations (product and portfolio-level)
- Commercial Rebate Tracking
- Pre-deal Financial Analysis
- Branded Prescription Drug Fee Forecasting
- Master Contract and Price Database
- Product Market Share Reports
- Competitive Product Pricing Insights by Class of Trade
Advanced Executive Reporting & Insights
Prescription Analytics’ Quarterly Business Report (QBR) services provide clients key insights and impact analysis into key areas affecting a pharmaceutical manufacturer’s growth, compliance, and profitability objectives.
Macroeconomic Environment
- Economic overview and trends impacting manufacturers
- Demographic shifts
- Medicaid Rebate volume trends (nationally and by state)
- Class of Trade additions
- Therapeutic class updates
Regulatory Updates
- Rules and requirements
- Proposed plan changes and potential impact to manufacturers
- Government program changes
- Benefits and beneficiaries
- State price transparency reporting and updates
Threat & Opportunity Assessment
- Assessment that highlights how macro trends, regulatory/compliance changes, and portfolio/product evolution may impact your growth, profitability and compliance objectives
- Threats, opportunities and their potential impact are specific to your business
Pricing & Rebate Analytics
- AMP and ASP variation analytics
- Volume trends and utilization; including key states with notable growth or declines
- Rebate liability forecasting
- Market basket analysis
- Contract changes and financial impact
Key Insights
For more information regarding our Commercial Operations Support services, contact our team of experts today.
