Exec DashboardPharmacy
Central Care Pharmacy
Profitability Visibility & Action Plan
POS Withholds
$58,000
Expected Net True-Up
$9,800
Current DIR %
5.4%
Target DIR %
5.0%
Performance Gap
0.4%
Above TargetPBM Performance Overview
PBM Comparison (DIR % vs Exposure)
PBM Summary
| PBM | Stores | PDC | GDR | SUPD | Health | Action | ||
|---|---|---|---|---|---|---|---|---|
| CVS Caremark | 840 | 5.8% | $9.2M | 78.5% | 82.3% | 71.2% | 62 | View Details |
| OptumRx | 560 | 5.1% | $5.7M | 85.1% | 89.5% | 81.2% | 78 | View Details |
| Humana | 440 | 6.3% | $4.8M | 76.2% | 80.1% | 68.5% | 55 | View Details |
| Express Scripts | 390 | 5.5% | $4.1M | 83.5% | 87.2% | 78.3% | 70 | View Details |
| Prime | 270 | 5.0% | $2.3M | 87.8% | 91.3% | 84.5% | 80 | View Details |
| Aetna | 190 | 5.4% | $1.6M | 81.2% | 85.1% | 74.8% | 73 | View Details |
Category Contribution to DIR
Breakdown by performance metric
Adherence (PDC)2.8%
GDR2.2%
Statin-in-Diabetics1.5%
Quality Bonus0.3%
Payer Mix
Distribution by insurance type
Medicare Part D
45%Commercial
30%Medicaid
15%Cash
10%$ Recovery To-Dos
Pharmacy Coaching Agent (PCA) recommendations
Total Recovery Potential
$16,700
High
Estimated recovery: $9,000
High
Estimated recovery: $3,200
Medium
Estimated recovery: $2,100
Medium
Estimated recovery: $900
Low
Estimated recovery: $1,500