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TriZetto Group

In partnership with Trizetto, Sanovia’s PA-Logic™ solution delivers the first and only unified platform to manage both medical benefit and pharmacy benefit drugs. With real-time interfaces to Facets® and QNXT®, PA-Logic™ provides a fully automated workflow with an embedded clinical rules engine that ensures cost-effective, consistent and quality pharmacy prior authorization determinations.

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Integrated Healthcare Management

TriZetto provides premier information technology solutions that enable payers and other constituents in the healthcare supply chain to improve the coordination of benefits and care for healthcare consumers. TriZetto envisions the systematic application of processes and shared information to optimize the coordination of benefits and care for the healthcare consumer.  At the present time, its technology solutions touch nearly half of the U.S. insured population. The winners in the new consumer-retail healthcare world will succeed based upon their ability to foster positive relationships, efficiency and superior outcomes across all healthcare constituents. TriZetto has partnered with Sanovia to integrate its core administration systems with Sanovia’s clinical decision-making tools (PA-Logic™, ePA-Logic™, to automate pharmaceutical utilization management and empower organizations such as yours to compete in today’s market. Automation, integration, and growth are key concepts in the next generation of pharmaceutical utilization management.  It has become necessary to coordinate and integrate information from both the pharmacy and the medical benefits in order to facilitate prior authorization processes in the best interests of all concerned. TriZetto accelerates today’s healthcare industry transformation by:    

  • Enhancing customers’ revenue growth
  • Driving customers’ administrative efficiency, and
  • Improving the cost and quality of care for their members.

The rising cost of specialty drugs and the inefficiencies of manual processes have put a renewed focus on finding the best way to manage pharmacy costs.  TriZetto’s Pharmaceutical Utilization Management solution automates the desktop prescription-to-approval process, helping payers reverse pharmaceutical cost trend and manage the next generation of pharmaceuticals.


Watch the Video “How Health Plans and PBMs have reduced drug spend and administrative costs”
View TriZetto Press Releases
TriZetto Point-of-View: Bridging Benefit Designs and Administrative Platforms to Optimize Pharmacy Management