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Plan Performance Review™ (PPR)

The Plan Performance Review™ typically includes the following analyses:

• General Plan Metrics & Summary
• Drug Type Utilization & Rates of Generic Penetration
• Specialty Drugs Analysis
• High Users Analysis
• Narcotic Drug Utilization Analysis
• Therapeutic Plan Limits Analysis
• Maintenance Drug Supplies Analysis
• Over-The-Counter (OTC) Drug Claims Analysis
• Hospital Use Only Claims Analysis
• Claims Review - General Plan Design
• Claims Review - Specified Plan Exclusions and Limitations
• Claims Review - Rejected Claims Analysis