Our Services

At MVT Health Consulting, we help health plans, PBMs, and provider organizations turn pharmacy strategy into measurable value. Our services are designed to reduce specialty drug costs, improve patient outcomes, and align pharmacy benefits with value-based care.

Formulary & Benefits Strategy

  • Optimize formulary design across medical and pharmacy benefits to balance affordability with evidence-based access.

  • Develop strategies for biosimilars, gene and cell therapies, and high-cost specialty drugs that support innovation while managing payer risk.

  • Align benefit structures with population health and value-based care goals, supported by utilization management protocols and readiness frameworks for emerging therapies.

PBM Oversight & Vendor Strategy

  • Provide independent evaluation of PBM contracts, performance, and rebate structures to ensure transparency, accountability, and measurable results.

  • Strengthen governance and oversight through P&T committee support, clinical program reviews, and performance audits that align pharmacy strategy with enterprise goals.

  • Support RFP development and vendor negotiations, ensuring rebate, formulary, and specialty strategies deliver maximum value and affordability.

Specialty & Oncology Specialty Solutions

  • Build integrated oncology and specialty drug management strategies across medical and pharmacy benefits.

  • Implement site-of-care optimization to shift infusions and specialty therapies to the most clinically appropriate, cost-effective settings.

  • Harmonize medical and pharmacy policies to reduce variability, improve provider and patient experience, and strengthen alignment with value-based care.

Thought Leadership & Advisory

  • Provide board-level insights on drug pipeline trends, IRA policy shifts, and pharmacy innovation to guide executive decision-making.

  • Deliver workshops, panels, and training on emerging pharmacy benefit strategies to engage and align stakeholders.

  • Serve as a strategic advisor to executives and cross-functional teams on affordability, access, and innovation goals.

Our Consulting Framework

  • Assess → Evaluate formulary design, PBM/vendor performance, and specialty cost drivers to identify opportunities for savings and improved access.

  • Design → Build tailored strategies for cost containment, adherence improvement, rebate optimization, and pipeline readiness that align with organizational goals.

  • Deliver → Partner in execution, monitor KPIs, and continuously refine strategies to ensure measurable, sustainable impact.