Maikova Pharmacy & Business Consulting
High-Stakes Pharmacy Strategy, Compliance & Performance
At Maikova, we partner with health plans, health systems, and managed care organizations to solve the pharmacy challenges that matter most: regulatory compliance, operational efficiency, payer alignment, and enterprise growth. Our team brings 20+ years of multi-state pharmacy leadership experience—including ACA market strategy, government program oversight, and payer-provider contracting—so clients gain advice that is both practical and defensible.
We deliver measurable impact: improved patient outcomes, reduced hospitalizations, payer and provider cost control, new revenue opportunities, and sustainable program integrity.
What We Do
340B Program Solutions
Whether you are newly enrolled or managing a complex covered entity, Maikova helps you maintain audit-ready compliance, optimize program design, and expand patient access. See our full approach on 340B Program Solutions.
Pharmacy Regulatory Compliance
We guide organizations through state and federal oversight—from HRSA and CMS expectations to HIPAA and fraud/waste/abuse requirements. Learn how our Pharmacy Regulatory Compliance services reduce risk while supporting innovation.
Pharmacy Operational Performance
Too many organizations operate with hidden inefficiencies. We assess people, processes, and technology to uncover bottlenecks, improve workflows, and maximize ROI. Explore Pharmacy Operational Performance.
Payer–Pharmacy Alignment
Health plans and managed care organizations need pharmacy strategies that balance affordability and access. Our Payer–Pharmacy Alignment Advisory builds frameworks that withstand regulatory scrutiny while unlocking value for all stakeholders.
Enterprise Pharmacy Compliance Reengineering
When audits, fines, or systemic breakdowns occur, Maikova leads large-scale compliance redesign. Read more about Enterprise Pharmacy Compliance Reengineering.
Additional solutions span Clinical Pharmacy Services, Government Programs & Managed Care, and Medical Expert Witness testimony.
What We Do
340B Program Solutions
Whether you are newly enrolled or managing a complex covered entity, Maikova helps you maintain audit-ready compliance, optimize program design, and expand patient access. See our full approach on 340B Program Solutions.
Pharmacy Regulatory Compliance
We guide organizations through state and federal oversight—from HRSA and CMS expectations to HIPAA and fraud/waste/abuse requirements. Learn how our Pharmacy Regulatory Compliance services reduce risk while supporting innovation.
Pharmacy Operational Performance
Too many organizations operate with hidden inefficiencies. We assess people, processes, and technology to uncover bottlenecks, improve workflows, and maximize ROI. Explore Pharmacy Operational Performance.
Payer–Pharmacy Alignment
Health plans and managed care organizations need pharmacy strategies that balance affordability and access. Our Payer–Pharmacy Alignment Advisory builds frameworks that withstand regulatory scrutiny while unlocking value for all stakeholders.
Enterprise Pharmacy Compliance Reengineering
When audits, fines, or systemic breakdowns occur, Maikova leads large-scale compliance redesign. Read more about Enterprise Pharmacy Compliance Reengineering.
Additional solutions span Clinical Pharmacy Services, Government Programs & Managed Care, and Medical Expert Witness testimony.
Why Clients Choose Maikova
Credibility: Led by a PharmD, BCGP with nearly two decades in payer and provider strategy
Breadth: Experience across 20 states, ACA markets, and multi-site health systems
Objectivity: Independent analysis and recommendations that withstand board, regulator, and courtroom scrutiny
Speed to Value: Frameworks, playbooks, and evidence packs that accelerate implementation
Insights & Thought Leadership
We publish original guidance on compliance, payer–pharmacy dynamics, and future trends such as Medicare Part D reform and HRSA oversight. See our latest perspectives on the Articles page and follow NCQA and CMS resources for broader industry context.
Ready to make pharmacy a true strategic asset?
Contact Maikova for a consultation today.