Medicaid Enterprise Systems - Pharmacy Benefit Services (2025 - 2035)

Northstar Healthcare Consulting Technologies

Contract Number 99999-DCH0000136-001 

NorthStar HealthCare Consulting (NHC) is a recognized innovator in pharmacy cost management, offering advanced data integration and industry-leading technology to reduce prescription expenses and optimize program spend.

 

We understand that the increasing complexity of drug regimens, expanding healthcare regulations, and evolving government requirements leave many states challenged to effectively manage their pharmacy benefit programs. Stewardship of public funds has never been more important—NHC helps ensure that taxpayer dollars are used appropriately, reducing waste and redirecting scarce resources back to patient care.

 

Our PharmD-led team combines deep clinical expertise with data-driven insight to provide comprehensive solutions, including formulary design, drug spend analysis, pharmacy systems consulting, as well as Durable Medical Equipment (DME) and pharmacy fraud, waste, and abuse (FWA) monitoring and prevention. NHC’s programs help states meet CMS and federal requirements for Drug Utilization Review and FWA compliance while improving health outcomes and preserving program integrity.