Pharmacy Benefits: Easier Access, Lower Costs
Pharmacy benefit administration designed to simplify eligibility, enrollment, and access to assistance programs.
Are Benefit Processes Slowing Access?
Managing pharmacy benefits often involves complex eligibility rules, documentation requirements, and coordination across stakeholders. When processes are slow or fragmented, access delays increase, and administrative burden grows.
Rising Medication Costs: Drug prices keep climbing, and without visibility into use and coverage limits, costs are difficult to predict or control.
Complex Benefit Structures: Fragmented formularies, inconsistent prior authorization, and varied co-pay programs slow access and create confusion for patients and staff.
Patient Drop-offs: Complicated enrollment steps or unclear cost-sharing often lead patients to stop or delay treatment, hurting adherence and outcomes.
Administrative Overload: Manual benefit checks and claims corrections drain staff time, create bottlenecks, and increase the risk of errors.
Compliance Risks: Strict HIPAA and federal regulations leave little room for inconsistent processes or missing documentation.
Human-Led Benefit Administration
Eligibility Verified with Care
Dedicated teams validate income, address, and eligibility criteria to ensure patients qualify correctly for pharmacy benefit and assistance programs.
Enrollment Focused Execution
Zapare supports end-to-end enrollment workflows, reducing delays and enabling faster patient onboarding into approved benefit programs.
Faster Enrollment, Faster Expansion
By streamlining income verification, eligibility checks, and documentation, Zapare helps organizations enroll patients faster while supporting the efficient expansion of pharmacy benefit and assistance programs.
Precision Insights for Smarter Decisions
Faster Patient Access
Speed up access to medications by simplifying eligibility checks, prior authorizations, and claims processing to reduce avoidable delays.
Better Adherence
Lower patient friction and coordinate support services that help individuals stay on therapy and achieve better health outcomes.
Operational Efficiency
Automate manual pharmacy workflows to cut administrative burden, eliminate rework, and allow teams to focus on higher-value tasks.
Data-Driven Insights
Use predictive analytics to identify cost drivers, flag adherence risks, and understand utilization patterns across populations.
Trusted Compliance
Meets HIPAA and SOC 2 Type II standards with secure, audited processes designed to protect data and support regulations.
Patient & Provider Enrollment
- Formulary & Authorization Management
- Medication Access
- Analytics & Optimization
In healthcare, trust is everything. Zapare follows the highest industry standards for data privacy, security, and operational excellence, ensuring every interaction is safe, compliant, and reliable.
SOC 2 Type II Certified
Our systems and internal controls are independently audited against the AICPA SOC 2 Type II framework to ensure security, availability, confidentiality, and data integrity across our operations.
ISO/IEC 27001:2022 Certified
Zapare maintains an Information Security Management System (ISMS) aligned with ISO/IEC 27001:2022 to safeguard sensitive healthcare data, manage information security risks, and ensure continuous protection of information assets.
HIPAA Compliant
Zapare follows HIPAA-aligned policies, administrative, technical, and physical safeguards to ensure the secure handling and protection of electronic protected health information (ePHI).
Why Choose Zapare for PBA?
- Pharmacy Benefit Domain Expertise
- Human-Led Enrollment Operations
- Eligibility & Documentation Accuracy
- Regulatory Compliance
- Scalable Solutions
- Data Security
