River Valley Pediatricians and Physicians Inc. (RVPI) is a local/regional management services (MSO) and group purchasing organization (GPO) currently serving pediatric and other independent primary care practices in and around Greater Cincinnati/ Northern Kentucky/Southeast Indiana. RVPI offers its member practices top level discounts for vaccines and a wide variety of other discounted products and services. In addition the organization provides educational programs for physicians and practice managers as well as consulting on practice management issues.