Formulary Benefit Design Management Software

Simplify formulary management from design to publishing.

Agadia’s FormularyHub helps Health Plans and PBMs create, administer, manage, and publish pharmacy and medical benefit formularies through a centralized, web-based solution.

Healthcare professional reviewing formulary information on a computer
Centralized
Formulary Management
Real-Time
Integrations
Automated
Publishing
CMS & State
Compliance
Centralized Formulary Control Create, update, compare, and maintain formularies in one connected solution.
Real-Time Data Exchange Connect formulary information with adjudication, e-prescribing, EMR, and PA workflows.
Automated Formulary Publishing Streamline formulary guides, file submissions, and member-facing communications.
Compliance Readiness Support CMS and state requirements with structured workflows and audit-ready reporting.
Addressing Formulary Management Complexity

Evolving requirements need a smarter way to manage formularies.

As formulary requirements grow in complexity, traditional management strategies can slow teams down. Health Plans and PBMs need technology that can keep pace with new and changing drugs, benefit designs, regulatory requirements, and communication needs.

FormularyHub helps reduce manual effort by centralizing formulary creation, maintenance, publishing, change tracking, and integration workflows.

Manage Ongoing Change Support frequent drug, benefit, and formulary updates with a more controlled process.
Improve Quality Control Use workflow-driven review and approvals to improve accuracy and consistency.
Connect Key Systems Share formulary information with downstream platforms and stakeholder workflows.
End-to-End Formulary Management

Control the creation, implementation, and maintenance of formularies.

FormularyHub simplifies formulary management by enabling teams to create, administer, manage, and publish both pharmacy and medical benefit formularies through one automated, centralized solution.

1
Create Build custom and standard formularies using structured, centralized workflows.
2
Manage Maintain pharmacy and medical benefit formulary information with stronger governance.
3
Publish Automate formulary guide production, website publishing, and required file outputs.
4
Report Track formulary file changes, configuration updates, and compliance activity.
Healthcare team reviewing digital formulary workflows
Immediate access to crucial information Deliver accurate formulary information where teams, providers, and members need it.
Real-Time Formulary Information

Integrate formulary information across the healthcare ecosystem.

FormularyHub supports real-time integration with point of adjudication systems, e-prescribing networks, EMR systems, provider workflows, and prior authorization software.

When combined with Agadia’s PAHub, formulary information can help PA teams and providers make more informed decisions in the prior authorization process.

Integration Capabilities

Connect formulary data to the systems that drive decisions.

FormularyHub helps eliminate manual processing by connecting formulary information with the platforms and workflows that rely on accurate benefit design data.

Connected Sources
Rx
Point of adjudication systems
EMR
E-prescribing networks and EMR systems
PA
Prior authorization software
automating-clinical-criteria
Unified Formulary Management Layer
📋
Formulary Creation
🔄
Change Management
🌐
Publishing
📊
Reporting
Connected Outcomes
Less manual processing
Faster access to formulary data
🔒
More controlled compliance workflows
Formulary Publishing

Automate the production of formulary guides.

FormularyHub helps organizations support state and CMS file submission requirements, website publishing, member-centric communications, and formulary change reporting.

📄
Formulary Guide Production Generate formulary guides and support publishing needs with a more automated process.
🌐
Website Publishing Publish formulary information to member-facing digital channels more efficiently.
📬
Member Communications Produce member-centric communications using structured formulary data and updates.
Ensure Compliance

Meet state and CMS regulatory requirements with confidence.

Health Plans and PBMs can leverage FormularyHub’s built-in workflow engine and formulary reference file capabilities to improve quality control, update formularies, compare changes, and support CMS submissions.

  • Built-in workflow engine for quality control
  • Formulary reference file support
  • Change comparison and update tracking
  • Support for CMS approval and submission workflows
Why Health Plans & PBMs Choose FormularyHub

A centralized approach to formulary benefit design.

FormularyHub helps teams simplify complex formulary operations while strengthening governance, visibility, publishing, and compliance readiness.

Centralized formulary creation and maintenance
Automated publishing and reporting capabilities
Real-time integration with downstream systems
Configurable workflows based on client requirements
Next Step

Simplify formulary benefit design management.

See how Agadia’s FormularyHub can help your team centralize formulary operations, automate publishing, and support compliance requirements.

Schedule Live Demo