Health plans
Rethink what's possible with your pharmacy benefits
Health plans are navigating rising drug costs, specialty pharmacy risks, and outdated models that limit transparency and flexibility. RxSense gives you a better path forward. Our technology products and solutions help you get full control, increased transparency, and meaningful savings with a modular approach that adapts to your needs.
A smarter way to manage pharmacy benefit complexity
Is your current pharmacy strategy meeting your goals?
Unclear spending insights
Without clear visibility into cost breakdowns, it can be difficult to manage spending or identify savings opportunities.
Limited flexibility
Legacy PBMs can often lock you into rigid models that might not meet your strategic goals, risk profile, or market needs.
Outdated technology
Older systems and complex integrations can slow everything down, making it harder to get real-time data, respond quickly, or work smoothly with partners.
Suboptimal member experience
When members can’t easily use their benefits, the experience becomes frustrating. A pharmacy strategy built on a single source of truth with real time data drives clarity, confidence, and alignment with business goals.
Technology built for health plans
RxSense helps you take back control with a modular, cloud-native platform that simplifies operations, increases visibility, and supports smarter decisions.
Cloud-native adjudication
Gain real-time flexibility without the constraints of legacy systems.
End-to-end support
Work with an experienced partner that collaborates with your team to design and execute your pharmacy benefits strategy.
Data transparency & insights
Access actionable intelligence to optimize drug pricing and the member experience.
Advanced security & compliance
Maintain high security standards with a trusted, accredited platform.
Our solutions tailored to your plan
RxSense delivers a full suite of technology and services designed to help you lower costs, improve outcomes, and gain control over your pharmacy benefit strategy.
Case study
Helping a health system gain independence
RxSense helped North Kansas City Hospital independently manage their own pharmacy benefits, giving them a new level of control over their operations and helping them optimize revenue.
Let's build your future, together
Take back control of your pharmacy benefit management. Whether you're looking to transition from a restrictive system or optimize your current setup, RxSense has the tools, experience, and technology to help you succeed.
Talk to us