Novologix

Novologix

Novologix is a leading utilization management tool offering innovative solutions in the management of medical specialty drug trend. With over 48 million members on the platform, our solution continues to grow among plan sponsors looking for innovation in processing medical specialty drug prior authorizations. Supported by CVS Health, our goal is to help lower drug spend, reduce administrative costs, and improve access to data analytics. Accessing Novologix is a breeze with direct provider portal integration via single sign-on. Once within the tool, providers can receive an auto-approval, reducing time to decision in under a minute. Further decision support is offered via real-time integration with NCCN while allowing regimen level reviews to be completed within a single PA request. Additional solutions supported by Novologix include automated claim editing, site-of-care, medical preferred drug strategies, vial optimization, and clinically appropriate quantity limits.

Prior Authorization and Appeals, Specialty Pharmacy

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