NextTier is a full service boutique PBM with a niche and focus on the management of pharmacy transactions occurring outside the traditional PBM. NextTier's unique strategic approach combines the best of traditional medical bill review with pharmacy benefit management tools. We work with each payer to build a customized program, maximizing program utilization and focusing pharmacy spend on the right scripts in your universe. By changing how out-of-network pharmacy paper bills are received, viewed, reported and managed, we increase savings and visibility reducing total pharmacy spend and costly administrative burdens.