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A solution ahead of its time

Universal PBM has been a critical part of the healthcare value chain for decades. We pioneered online real-time claims adjudication in the SA healthcare market and remained a leader in online real-time medicine claims adjudication using US patented technology. As acknowledged pioneers in our field we were first-to-market with the following:

  • Generic reference pricing
  • Therapeutic reference pricing
  • Over-the-counter (OTC) medicine benefit
  • Online real-time (OLRT) claims adjudication
  • Detailed application of medicine formularies and coding
  • Chronic medicine management programme
  • Concurrent DUR (patient safety rules)
  • Performance-based reimbursement for additional savings on generic medicines
  • The South African industry coding standard for medicines and surgical products, termed NAPPI codes