Healthcare Utilization Management Solutions for Health Plans & PBMs

Discover Why the Nation’s Leading Health Plans & PBMs Choose Our Solutions To Streamline Their Utilization Management Processes

All Lines of Business

Agadia’s solutions are used across all lines of business (commercial, Medicare, Medicaid, etc.)

All Channels

Our Prior Authorization solution, PAHub is available across all channels (phone, fax, ePA, e-prescribing, etc.)

All Healthcare Services

Our solutions are applicable for all healthcare services, all benefit types (pharmacy, medical), lines of business and channels.

A Comprehensive Suite of Utilization Management Solutions

Electronic Prior Authorization

PAHub™, is a HITRUST certified solution that puts the tools at your fingertips to streamline and control all clinical, compliance and administrative aspects of Prior Authorization to improve compliance, automation, reduce turn-around times and costs.

Medication Therapy Management

RxMTM+ is Agadia’s best-in-class Medication Therapy Management (MTM) solution, providing a fully-customizable platform that allows you to take control and automate your MTM process.

Part D Star Ratings & Adherence

Our Star Ratings & Medication Adherence software, RxSentinel+, allows Health Plans and PBMs to customize programs leading to better patient outcomes, higher levels of adherence and improved CMS Star Ratings.

Formulary Benefit Design

Our Formulary Benefit Design solution,, allows you to control the building, implementation and maintenance of custom and standard formularies. With, you can easily “mix and match” modules…

75+ Years of Experience

In the Managed Care Market

Our Mission is to improve the quality of care and expedite the delivery of critical health care services by advancing and automating utilization management processes

Increased Processing Speed by


For Prior Authorizations Using PAHub

Explore How a Health Plan
Specializing in State Medicaid

Doubled Their Prior Authorization Volume

with an actual reduction in staff, and increased their processing speed by more than 133%

What our clients are saying

Trusted By Leading Health Plans & PBMs

“Agadia has been pivotal in our go-to-market strategy—both from a product stand-point as well as strategic leadership demonstrated by their team.” — VP, IT

First Year IRR of


While Using PAHub

Learn how a Health Plan with both commercial and medicare business

Saw an Internal Rate of Return of 199%

within one year of using PAHub

Ready to Get Started?

Contact Us Today

NOTE FOR PATIENTS: We are a software company. Please contact your physician or pharmacy for any drug related questions.





9 Campus Drive, Parsippany NJ 07054

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