A Road Map to Support Your Member Pharmacies — and Power Your Advocacy
Equip your members with a proven PBM Appeals workflow that recovers revenue, reduces staff burden, and turns aggregated appeal data into legislative leverage.
Support Your Pharmacies. Strengthen Your Advocacy. Deliver Real Results.
State pharmacy associations are on the front lines of protecting community pharmacies from ongoing PBM pressure. From reimbursement challenges to complex appeal processes, your members are navigating an increasingly difficult landscape.
Pharmacy Marketplace's PBM Appeals tool is designed to support that mission — helping pharmacies recover revenue they've already earned while giving associations meaningful data to power their advocacy efforts.
Tangible ROI Your Members Can See
Associations are always looking for ways to provide concrete benefits to members. PBM Appeals delivers measurable ones — not theoretical value, but dollars recovered and operational relief.
Increased Revenue
Successful appeals recover dollars your members have already earned but never collected.
Reduced Staff Time
Replace manual spreadsheets and inbox searches with structured workflows your members can actually run.
Greater Visibility
Surface payer behavior and reimbursement trends your members couldn't see before.
Real Data. Stronger Legislation.
Beyond individual pharmacy impact, Pharmacy Marketplace provides aggregated, de-identified insights that help associations understand what's actually happening across their state.
That data gives your organization stronger footing in every conversation — with legislators, with payers, and with the pharmacies you serve.
Appeal Success Rates
Aggregated, de-identified success metrics across your member pharmacies.
Reimbursement Trends
Track how payer reimbursement is shifting across your state over time.
Payer Behavior
Identify patterns that inform legislative priorities and payer negotiations.
Designed Around Your State's Realities
We work alongside associations to ensure our platform reflects the specific PBM laws and appeal timelines of your state — and adapts as new legislation passes.
A Proven Path to Member Adoption
A structured rollout that builds trust, demonstrates value, and drives meaningful adoption across your state.
Schedule a Demo
A live walkthrough of Pharmacy Marketplace and the PBM Appeals tool — see how members can identify underpaid claims, streamline appeals, and recover lost revenue with minimal staff burden.
Educate Us on Your State's PBM Law
Share guidance on reimbursement rules, appeal timelines, audit protections, and recent legislative changes so the tool is aligned with your state's regulatory reality.
Develop a Roll-Out Plan
A coordinated kickoff: webinar, educational materials, and ready-to-use content for newsletters, email campaigns, and events — so members know exactly where to start.
Hold Quarterly Meetings
Recurring sessions to review changes in state law, share field updates, and review aggregated platform data on appeal trends and dollars recovered.
Take the Road Map With You
The full step-by-step playbook in a downloadable format — designed to share with your board, your staff, and your member pharmacies.
Community Pharmacy Underwater PBM Claims Rollout Plan
A step-by-step path for pharmacies to identify, manage, and recover losses from under-reimbursed prescriptions.
Onboarding, targeted education on recognizing underwater claims, efficient appeal workflows, and data-driven insights — so pharmacies can quickly adopt best practices and improve reimbursement outcomes.
How We Built the Tool
Watch our short video detailing how Pharmacy Marketplace developed our PBM Appeals Tool with our Lead Trainer, Kayla Copeland, CPhT, to help pharmacies stop losing money on underwater claims.
PBM Appeal Resources
Downloads, case studies, and explainers to share with your board, your staff, and your member pharmacies.
PBM Appeal Update
A look at how pharmacies are improving appeal outcomes and recovering lost revenue — trends, success rates, and strategies to streamline the process.
Download the updateCase Studies
Real-world examples of how community pharmacies recovered revenue and streamlined their workflows using the PBM Appeals Tool.
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Read the FairRx breakdownRoad Map
The State Association Road Map — a step-by-step playbook for getting your member pharmacies onboarded to the PBM Appeals Tool quickly.
Download the road mapChecklist
A printable checklist your association can use to plan PBM Appeals engagement with your member pharmacies.
Download the checklistPartner With Pharmacy Marketplace
See how PBM Appeals can deliver tangible value to your members and real data to your advocacy work. Schedule a walkthrough with our team.