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GenieMD for Pharmacies

Your pharmacists become care navigators for the patients who already trust them

Patients who choose to enroll in Medicare Remote Patient Monitoring, Remote Therapeutic Monitoring or Chronic Care Management through GenieMD Medical Group get monthly care from your pharmacy team, on the GenieMD platform, with a board-certified physician overseeing every care plan.

Your pharmacists and technicians are paid a fair-market hourly rate for the time they spend caring for patients. No patient lists change hands, no one is recruited from your records, and no payment is tied to a claim.

Register your pharmacy See how it works
Limited timeFor a limited time, there is no fee to start.
Patient-initiated enrollmentPhysician-qualifiedFair-market hourly payOne-year written agreementHIPAA compliant

The model at a glance

1Patients enroll on their ownFlyers and signage in your pharmacy; a QR code opens GenieMD's consent page. Your records are never used to find or target anyone.
2A physician decides who qualifiesA GenieMD Medical Group board-certified provider holds an E&M visit and, at their sole discretion, enrolls the patient in RPM, RTM or CCM.
3Your team navigates carePharmacists and techs build a physician-approved care plan and deliver monthly care on the GenieMD platform.
4You bill for time, not codesInvoice GenieMD Medical Group at a fair-market hourly rate. Payment never depends on reaching a CPT threshold.
5Cash-pay services, tooGalleri early cancer detection, Prenuvo full-body MRI, GLP-1 medications and a 50+ biomarker panel through Quest.
Built around the federal Anti-Kickback personal services safe harbor
Patient-initiated
Patients ask to join after seeing a flyer or sign. Your pharmacy never identifies, pre-screens or targets Medicare patients from its database.
No data sharing
GenieMD never gains access to your patient list, dispensing records or purchase history to promote the program.
Physician discretion
Only a GenieMD Medical Group board-certified provider qualifies a patient, after an evaluation and management visit, and only when medically appropriate.
Fair-market, time-based
A one-year written agreement sets an FMV hourly rate in advance. Compensation reflects time spent on patient care, never volume or value of referrals or claims.

GenieMD Medical Group is the enrolling and billing provider for every Medicare program described on this page. The pharmacy relationship is structured as a personal services arrangement under a written agreement with a term of at least one year and compensation set in advance at fair market value. Your own counsel should review the agreement before you sign.

How it works

Seven steps, from a flyer at your counter to monthly care

Every step is designed so the patient drives enrollment, the physician drives eligibility, and your team is paid for the care it actually delivers.

01 Your pharmacy

Flyers and signage

GenieMD provides flyers, counter cards and a window sign describing the programs. Patients learn about them the same way they learn about a flu clinic: by walking in.

02 Your pharmacist

Answer questions, nothing more

If a patient asks, your pharmacist can explain what RPM, RTM and CCM are and what to expect. Your staff do not search records for eligible patients, call patients, or promote the program to anyone who has not asked.

03 The patient

Scan, read, consent

The patient scans the QR code or visits the GenieMD enrollment page, reads what the programs involve, and gives their own consent to be contacted and evaluated.

04 GenieMD

Onboarding and a physician visit

A GenieMD Specialist contacts the patient, sets them up on the platform and schedules an evaluation and management visit with a GenieMD Medical Group board-certified provider.

05 GenieMD Medical Group

The physician qualifies, or doesn't

At the visit, the provider decides at their sole discretion whether the patient meets Medicare's criteria for RPM, RTM and/or CCM. Patients who do not qualify are not enrolled.

06 Your pharmacy team

Care plan and monthly care

Your pharmacist or technician drafts the care plan; the GenieMD Medical Group physician reviews and approves it. Your team then delivers care each month on the GenieMD platform, logging time as they go.

07 GenieMD Medical Group

Billing and payment

When documented care meets a code's requirements, the platform generates the CPT code and the medical group submits it to the payer. Separately, your pharmacy invoices the medical group for hours worked at the agreed FMV rate.

Who enrolls the patientGenieMD Medical Group, after its own consent process and physician visit. Your pharmacy is never the enrolling party and never signs a patient up at the counter.
Who gets paid for whatThe medical group bills Medicare and other payers for the program. Your pharmacy bills the medical group for time. The two are not linked: an hour of care is paid whether or not a CPT threshold was reached that month.
Who does what

Three parties, clear lines

The separation of roles is what keeps the program compliant, and it is also what keeps it simple for your staff.

Your pharmacy

The care navigator

Pharmacists and trained pharmacy technicians, working under the general supervision of the medical group physician.
  • Display the flyers and signage GenieMD provides
  • Answer patients' questions about the programs when asked
  • Draft each enrolled patient's care plan for physician approval
  • Deliver monthly care: medication reconciliation, adherence, device-data review, education, coordination with the patient's other clinicians
  • Document time and activities on the GenieMD platform
  • Invoice GenieMD Medical Group monthly at the FMV hourly rate
GenieMD Medical Group

The qualifying and billing provider

A multi-state medical group of board-certified physicians.
  • Obtains and documents the patient's consent as CMS requires
  • Conducts the evaluation and management visit
  • Decides, at the physician's sole discretion, who qualifies for RPM, RTM or CCM
  • Reviews and approves every care plan; provides general supervision
  • Submits claims to Medicare and other payers under its own NPI
  • Pays your pharmacy for documented time under a one-year written agreement
GenieMD

The platform and the specialists

The technology, devices and onboarding team behind the program.
  • Hosts the consent and enrollment page patients reach by QR code
  • GenieMD Specialists contact, onboard and schedule each consenting patient
  • Ships and connects FDA-cleared monitoring devices for RPM and RTM
  • Provides care-plan templates, time tracking and documentation tools
  • Generates CPT codes from documented care, not from targets
  • Trains your pharmacists and technicians on the care-navigator workflow
What this program never asks your pharmacy to do
  • Query dispensing or purchase records to find Medicare patients
  • Share a patient list, contact list or any patient data with GenieMD for promotion
  • Call, text or mail patients who have not asked about the program
  • Enroll a patient, collect consent, or promise that anyone will qualify
  • Steer prescriptions, devices or cash-pay services in exchange for anything
  • Hit a minimum number of enrollments, minutes or claims to be paid
The programs

Three Medicare-sponsored programs your team can navigate

Each is a Medicare Part B benefit billed by a physician practice. A patient may qualify for one, two or all three; the GenieMD Medical Group physician decides which, if any, are appropriate.

CCM

Chronic Care Management

Monthly, non-face-to-face care coordination for patients living with two or more chronic conditions expected to last at least a year, such as diabetes, hypertension, heart failure, COPD or CKD.

What your navigator does each month
  • Reconcile medications and close adherence gaps
  • Review symptoms, labs and recent visits against the care plan
  • Coordinate with the patient's physicians and specialists
  • Update the care plan and document time
RPM

Remote Patient Monitoring

Physiologic data from an FDA-cleared device the patient uses at home: blood pressure, glucose, weight, pulse oximetry. GenieMD ships and connects the device.

What your navigator does each month
  • Review incoming readings and flag out-of-range trends
  • Coach the patient on taking consistent readings
  • Hold the required interactive check-in by phone or video
  • Escalate to the medical group physician when something needs a clinician
RTM

Remote Therapeutic Monitoring

Non-physiologic data about how a patient is responding to treatment: medication adherence and response, respiratory status, or musculoskeletal recovery, captured by a connected device or app.

What your navigator does each month
  • Monitor adherence data, for example from a connected pillbox
  • Follow up on missed doses and side effects
  • Reinforce the treatment plan with the patient
  • Report response and barriers back to the prescribing clinician
How your pharmacy is paid

You are paid for your time, not for claims

Most pharmacy care-management offers pay a share of what gets billed. This one does not, by design. Here is exactly how the money works.

A personal services agreement, built for the safe harbor

GenieMD Medical Group contracts with your pharmacy for care-navigation services. The terms track the elements of the federal Anti-Kickback Statute's personal services and management contracts safe harbor.

  • Written agreement, one-year termSigned by GenieMD Medical Group and your pharmacy, covering all services, before any work begins.
  • Fair-market-value hourly rate, set in advanceThe rate for pharmacist and technician time is fixed in the agreement and does not change with patient volume, enrollments or billings.
  • Paid for documented timeYour team logs time on the platform. You invoice the medical group monthly for hours worked at the agreed rate.
  • No CPT threshold to be paidIf a patient needs 12 minutes of care one month, the medical group may not bill Medicare, but your pharmacy is still paid for those 12 minutes.
  • Care drives the codes, not the other way aroundA CPT code is generated only when care the patient needed, documented as delivered, meets that code's requirements. There are no minute targets.
Side by side

Two separate flows of money

Who bills Medicare and other payers
GenieMD Medical Group, under its NPI
What is billed
CPT codes generated from documented, medically necessary care
Who your pharmacy bills
GenieMD Medical Group
What your pharmacy bills for
Pharmacist and technician hours at the FMV rate in the agreement
Link between the two
None. Your invoice is paid whether or not a claim was submitted that month
Term
One year, renewable in writing
Patients may have standard Medicare Part B cost-sharing for these programs; most with a supplemental plan or Medicare Advantage pay little or nothing. Your pharmacy never collects program fees from patients.
Beyond Medicare programs

Cash-pay services your patients can access through GenieMD

Once your pharmacy is a GenieMD partner, your patients can also use GenieMD for physician-led, cash-pay longevity and prevention services. Each involves a GenieMD Medical Group provider where clinically required; nothing is sold over the counter.

G
Early cancer detection

Galleri® multi-cancer test

GRAIL's blood test screens for a signal shared by 50+ cancers, many with no recommended screening today. Ordered through a GenieMD Medical Group physician, drawn at Quest.

About Galleri
P
Full-body imaging

Prenuvo whole-body MRI

Radiation-free MRI screening of the torso or whole body at Prenuvo imaging centers, with results reviewed by a physician and a baseline to track over time.

About Prenuvo
Rx
Weight and metabolic health

GLP-1 medications

Physician-supervised GLP-1 therapy such as Wegovy® and Zepbound®, prescribed only after an evaluation and labs, with ongoing follow-up.

About GLP-1 care
50+
Biomarkers

50+ biomarker blood panel

A comprehensive wellness panel at Quest Diagnostics covering heart, kidney, liver, metabolic, thyroid and more, with an optional physician review of results.

About the panel
i
Same principle as the Medicare programsPatients learn about these services from in-store materials and choose them on their own. Pricing is paid by the patient directly to GenieMD, and any role for your pharmacy is set out in the same written agreement at fair market value.
Questions

What pharmacy owners ask us

Do we need to identify which of our patients are eligible?

No, and you must not. Eligibility is decided by the GenieMD Medical Group physician after the patient has consented and attended a visit. Your pharmacy's role is to display the materials and answer questions when a patient asks. Your dispensing records, purchase history and customer lists are never used to find, screen or target patients.

Does GenieMD get access to our patient data?

No. GenieMD never receives your patient list or records for promotion or enrollment. The only patient information that reaches GenieMD is what the patient enters themselves on the consent page, and what your team documents on the platform while caring for a patient who has already enrolled.

What happens if a patient does not reach 20 minutes in a month?

Your pharmacy is paid for the time your team documented, at the agreed hourly rate. GenieMD Medical Group may not submit a CCM claim for that month, because the care delivered did not meet the code's requirements. That is the medical group's risk, not yours, and it is deliberate: no one on your team should ever feel pressure to pad minutes.

Can pharmacy technicians do this work?

Yes. Pharmacists and trained technicians can both act as care navigators, under the general supervision of the GenieMD Medical Group physician and in accordance with your state's pharmacy practice rules. Care plans are always reviewed and approved by the physician before care begins.

How is the fair-market-value rate determined?

GenieMD Medical Group sets separate hourly rates for pharmacist and technician time using fair-market-value benchmarks, documents the basis, and fixes the rates in the agreement for the full term. The rate does not vary with how many patients enroll or how much is billed.

What does the agreement cover, and how long is it?

A written personal services agreement between GenieMD Medical Group and your pharmacy with a term of at least one year. It specifies the services, the hourly rates, documentation and invoicing requirements, HIPAA business-associate terms, and each party's compliance obligations. We encourage you to have your own counsel review it.

Will patients pay anything?

RPM, RTM and CCM are Medicare Part B benefits, so standard Part B cost-sharing may apply. Many patients with a Medigap plan or Medicare Advantage pay little or nothing. Cost-sharing is explained to the patient before they consent, and your pharmacy never collects program fees.

Do patients have to leave our pharmacy?

No. Enrolled patients keep their pharmacy. Monthly care is delivered by your team by phone, video or at the counter, and medication reconciliation naturally keeps refills coordinated through you.

Your patients already trust their pharmacist.
Now their pharmacist can be their care navigator.

Register your pharmacy and a member of the GenieMD team will walk you through the agreement, the training and the in-store materials. Most pharmacies are ready to receive their first enrolled patient within a few weeks.

Register your pharmacy Talk to our team
Limited timeFor a limited time, there is no fee to start.

The Care Navigator program is operated by GenieMD, Inc. Medical services, patient eligibility determinations and all claims to Medicare and other payers are the responsibility of GenieMD Medical Group, an independent professional organization. Participation requires a written agreement between GenieMD Medical Group and the pharmacy; the program is structured with the federal Anti-Kickback Statute's personal services and management contracts safe harbor in mind, but no statement on this page is legal advice and pharmacies should consult their own counsel. Enrollment in any Medicare program is at the sole discretion of a GenieMD Medical Group physician based on individual evaluation; not every patient will qualify. Reimbursement to GenieMD Medical Group varies by locality, payer and services delivered and does not affect pharmacy compensation. Galleri® is a registered trademark of GRAIL, LLC; Prenuvo, Wegovy®, Zepbound® and Quest Diagnostics® are trademarks of their respective owners, referenced for identification only. Cash-pay services require a physician evaluation where clinically indicated and are not covered by Medicare.