Pro Pharma

Pro Pharma Pharmaceutical Consultants, Inc. is a healthcare consulting firm providing pharmacy benefit, analytics, and organizational strategy services. Established in 1986, the company works with health plans and other healthcare organizations to support clearer decision-making and improve how services are managed. Its consulting combines pharmacy and medical data, including claims, member, provider, and medical encounter information, with expertise in programming, systems analysis, and data analysis.

Services include managed care and pharmacy consulting, prior authorization and pre-certification reviews, PBM oversight, benefit and formulary design, medication reviews, and medication therapy management. Pro Pharma also supports drug utilization review, fraud, waste, and abuse initiatives, compliance, forecasting, and management reporting. Its analytical and pricing tools include the JCode Calculator and customized maximum allowable cost lists, while its Clinical Data MVP supports medication review activities.

The firm offers tailored solutions to meet each organization’s needs, including evaluations of financial and clinical performance. Pro Pharma also shares healthcare news and educational resources through Pharmacy Benefit News and RxInfoX, helping audiences stay informed about current healthcare topics.