Get Maximum Reimbursements with Bill Direct

Realize more profits by
eliminating the costly middleman.

StreamCare helps you
keep more of the profits.

With StreamCare, you can quickly impact your bottom line by capturing more of the profits you deserve for your work.

As an industry partner of PDS, StreamCare helps members bill direct for their worker’s compensation prescriptions and effectively eliminate the costly PBM middleman.

Through StreamCare’s solutions, you will be able to easily process worker’s compensation prescriptions and yield a much higher profit for your pharmacy.

Many independent pharmacists are missing out on the profits they deserve because they’re billing through a typical PBM or processor. As a result, they are subject to that third-party’s rate schedules — allowing them to keep the difference. In many cases, the difference can be significant since many states offer a very generous reimbursement schedule rates for work comp prescriptions.

StreamCare helps you bypass the PBM by billing direct to your state’s workers’ compensation carrier, thereby allowing you get to keep more of your profit.

Increase the Profitability of Your Pharmacy

Consider the potential impact on your profitability. For example, if your current PBM contract is currently at AWP 82% for generic reimbursements, you could be missing out on a significant number of dollars if your state will pay full AWP for the same generic. StreamCare charges a 30% fee for generics and lower for brands from what is collected only. That means a $10 reimbursement could become a $190 reimbursement just from using StreamCare. (StreamCare is not a solution for all states).

It’s important to understand that each state has a reimbursement schedule they are willing to pay for work comp prescriptions, many at full AWP for a generic. Many independent pharmacists never realize that full reimbursement since PBMs may take up to 95% of the claim.

Benefits of Working with StreamCare

  • Work comp carrier will not pay out any more money by using the StreamCare method.
  • StreamCare charges 30% of what is collected for generic claims and even less for brand name claims. They only get paid if you get paid.
  • StreamCare takes on the hard work of billing direct through the backend. A pharmacy billing to StreamCare is similar to billing a regular claim except you must provide extra information (i.e. date of injury, employer information) since it is due to an injury.
  • Streamcare, after receiving the claim, will manually bill the proper insurer.

Start getting the maximum reimbursement possible by billing direct for your work compensation patients.

Learn more about StreamCare

Potential profits you can earn by eliminating the PBM for work comp claims.

Tizanidine 4mg #90$8.57$95.24
Gabapentin 800mg #90$10.42$194.09
Duloxetine 60mg #30$10.04$161.29
Meloxicam 15mg #30$5.00$92.36

Over $500 in extra profit for filling the exact same prescriptions and the carrier is paying the exact same amount.

Learn the specific states this method will work in and how to get started by filling out the form above.

Increase Profitability

Realize more profits by billing direct for the same prescriptions.

Cut the Middleman

Maximum your work with a system that ensures better returns.

Finance Your Future

With more profits, you are better equipped for long-term success.

Top Benefits

  • Maximize profits

  • Streamline billing

  • Realize more returns

Growth Impact

  • Fund your future

  • Increase profitability

streamcare comparison

Get more return from the prescriptions you’re already dispensing.

StreamCare helps you bill direct.