Payor Contracting
Strategic Negotiation for Stronger Reimbursement
AlignRx offers specialized knowledge and insight into payor contracting. Backed by deep industry expertise, trusted payor relationships, and data-driven insights, our goal is to achieve the broadest possible patient access with acceptable reimbursement in managed care contracts.
Put a Proven Negotiator on Your Side
Navigating contracts can be complex and time-consuming, pulling you away from patient care. With AlignRx, you gain a trusted partner who negotiates on your behalf, securing fair, reasonable reimbursements while you focus on running your pharmacy.
Our team brings deep expertise in payor contracting, helping you understand critical contract components and how reimbursement terms impact your business. We leverage long-standing relationships with regional and national payors across the U.S. and Puerto Rico, with the goal of securing the broadest patient access with acceptable reimbursements.
At AlignRx, we champion the long-term success of community pharmacies. We’re not afraid to say “no” to unfair contracts. With decades of combined experience and real-time data insights, our team delivers results your pharmacy can trust.
Explore More Ways AlignRx Works for You
Learn how our services can take your pharmacy to the next level.
Direct Contract Consulting
Align Emerging Opportunities with Your Strategic Goals
When your community pharmacy considers contracting directly with a third-party payor, AlignRx guides you through both traditional and non-traditional agreements. Our experienced team leverages deep industry insight and a data-driven approach to simplify complex terms, reduce financial risk, and secure fair, reasonable reimbursement. We empower you to make informed decisions that support your pharmacy’s long-term growth and success.
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Compliance Guardian
Breathe Easy with Our Pharmacy Compliance Support
Compliance Guardian® simplifies pharmacy compliance by bringing staff training, licenses, and documentation into a secure, web-based platform. Monitor employee information and compliance status with automatic monthly OIG and SAM exclusion checks, manage licenses and insurance certificates, and assign and track CMS-aligned training for HIPAA and FWA. With 24/7 access, you’ll stay organized, audit-ready, and confident in your compliance.
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Clinical Connection
Improve Your Pharmacy’s Performance
AlignRx helps your pharmacy improve clinical outcomes and boost revenue using data-driven tools like EQUIPP® and the Clinical Connection platform. Access benchmarked performance data, prioritized care opportunities, and expert clinical support to streamline workflows, close gaps in care, expand services, and grow revenue—while participating in a value-based network that rewards performance.
