Virtual Benefits Administrator (VBA) Integrations

Southern Scripts simplifies the complexities of navigating through the Pharmacy Benefit Manager world by giving the employer group complete freedom, control, and choice as to how they structure their plan. Southern Scripts is a leading pharmacy benefits manager (PBM) founded by pharmacists to reinvent the traditional PBM approach. Our innovative pass-through PBM model and flexible solutions empower plan sponsors to achieve maximum cost savings, decreased risk, and optimum versatility in plan design to achieve true patient-centered clinical care at the lowest net cost. Plan sponsor is charged the exact price the pharmacy is paid. We pass all discounts and rebates that we secure at 100% to the plan sponsor. No additional fees for standard PBM services, such as prior authorizations, step therapy, and data reporting. Our robust clinical management program and high-performance drug formularies deliver the lowest net cost to protect plans from unnecessary expenses.

Streamline design and production to create clearer, more powerful materials for members. Consolidate and coordinate electronic and paper communications to make every touchpoint more meaningful for members. Easily set provider payment preferences to ensure timely payments on their terms.

Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform. Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by our team of certified clinical, dental, and health benefits experts. Accurate data and cutting-edge cloud technology combine to create a proven and defensible medicare reference-based pricing (RBP) solution. More than 100 healthcare data sets, with professional support to optimize efficiency and compliance. Advanced medical coding software designed to expedite claim submission and minimize denials. Our cloud based Payment Integrity Platform utilizes our proprietary analytics engine to identify coding errors, medical necessity, unbundling, fraud-waste-abuse, audit risks, pricing and other aberrations that can impact your business.

As pioneers in specialty drug management, industry leaders in Medicaid pharmacy programs and disruptors in pharmacy benefit management, we partner with our customers and members to deliver a best-in-class healthcare experience.
 As a pharmacy organization, we believe everyone should have access to the tools they need to live a healthy, vibrant life. We build win-win solutions that are centered around personalizing and elevating the healthcare experience, all while providing optimal outcomes for our customers and members.