Solution Offering

Description

Benefit to your pharmacy

Pre/Post Editing Services

Deliver valuable claims edits specifically for community pharmacies. Edits include:

• AWP Comparison

• DAW Appropriateness for Multisource Brands

• Usual & Customary Third-Party Paid

• Quantity/package size

• NDC/NPI Validation

• Controlled Substance Prescribing Authority

Increase third-party reimbursements and reduce audits

Rx PriorAuthPlus

Automates the prior authorization resubmission process from the pharmacists to the prescriber

Eliminate manual, time intensive workflow and reduce prior authorization response time

eVoucherRx

At no cost to your pharmacy, applies paperless electronic coupons toward a patient’s out-of-pocket costs on qualified prescriptions

Reduce prescription cost barriers while improving patient access to prescribed medication

AWP Resubmission

Identifies claims paid using outdated average wholesale pricing (AWP) and enables claim resubmission for increased reimbursement

Help maximize reimbursement opportunities on paid claims

RxSafety Advisor

Provides real-time alerts to pharmacists that reduce risk for look-alike/sound-alike dispensing errors and screens dispensed dosages for pediatric and geriatric patients

Alleviate harmful, costly and avoidable dispensing errors 

NotifyRx

Delivers actionable information at the point of dispense such as drug recalls, formulation changes, and safety alerts

Promote pharmacist role as care provider by delivering relevant information to patients

Risk Evaluation and Mitigation Strategies (REMS) Services

Enables pharmacies to more easily comply with the FDA-mandated REMS program

Expand patient access to critical medications and reduce pharmacist compliance workload

Rx Prescriber Instant Check

Containing over two million active healthcare prescribers nationwide, lets pharmacies easily validate prescriber information (e.g. name, DEA number, sanctions, etc)

Reduce exposure to audits, rejected claims and manual prescriber searches