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Easily configurable pharmacy benefits and plan management with real time analytics on demand?

All in one.

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Our model is transformative in every way

We are specifically structured to support your growth – not lock you into our model

 
 

Unlike other pharmacy benefit technology companies in the market, we want to equip you with complete visibility into your business, remove the barriers to bringing your own business model preferences to life, and enable self-service in your business at a timeline that meets your needs. 

RxSense

Not a PBM, not your competitor in the PBM marketplace

Flexible service model: do everything self-service or rely on RxSense staff for full support (or anything in between). Start with full service, migrate to self-service, when/if you’re ready and at your own pace

Pass-through cost of goods

Easy to understand per-claim fee-based pricing for technology

Optional fee-based business accelerators

Intuitive, modern technology and benefit configuration (not “coding”) UI built for operations personnel — IT staff not required for claim investigation, complex queries or reports

Cloud-based, auto-scalable, secure,
multiple real time redundancies, stable

Private-label member tools, reporting environment, reports – virtually everything for your downstream clients and members

Others

Competing head to head with you in the PBM marketplace

Reliant on PBM for simple changes with long delays.  Self-service not a primary focus and maybe  not even an option

Black-box pricing – even if they say pass-through,
can you tell whether it is?

Complex, difficult to make sense of

Required mail, specialty, rebates, etc.

Old technology with long development cycles; IT personnel required to “code”, extract/investigate claims, do queries and reports

On-premises legacy platforms: need long lead times to add scale, reactive and delayed security environment, protocols, single delayed redundancy.

Their brand only?

 
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Our technology is a game-changer.

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Ready to accelerate your business?

Whenever you're ready, and only if you want, you can add on any (or all) of our optional business accelerators. Just imagine what advantages such as faster speed-to-market or extended platform capabilities that automate resource-intensive business operations would do for your business.

65k+ Pharmacies

Open network of over 65,000 pharmacies with flexibility to use as a wrap

Home Delivery

Pre-contracted mail order / home delivery service

Prior Authorization

Pre-contracted, turnkey, full-service partnership or self-service technology to operate your own program

Specialty

Pre-contracted specialty pharmacy offering convenience, cost control and member-centered care

24 / 7 / 365

Member and pharmacy contact center with comprehensive, client-specific knowledge base

Clinical Programs

Full clinical program support, with starter lists and templates; as well as adherence and member support, engagement,  pharmacogenomics partnerships

Limited Distribution

Pre-contracted, configurable, and comprehensive specialty limited distribution drug wrap

Formulary & Rebate

Formulary management and / or rebate contracting and administration and support 

Member Tools

Member portal and native iOS and Android apps that operate in your brand—or leverage our APIs to outfit your own member tools

 

Extraordinary Service

Achievable when the underlying processes are proven and knowledge transfer is built-in.

 

Support 

Our client-centered, ongoing service approach means you have an entire team working to ensure your success.

From the strategic to the tactical, our service model is unrivaled in excellence and customer satisfaction. As you and your strategic team evaluate the performance of your plans and determine strategic priorities, the tactical team picks up the implementation, tracking and delivery of these projects — backed 24 x 7 x 365 by the Client Help Desk, for swift reporting and resolution of outages, POS claims processing issues, and system access/password requests.

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Strategic Account Executive (SAE)

Your primary point of contact to your strategic team. They are responsible for all things Contract, Growth/Profitability, Client Retention and PG Monitoring/Reporting.

Service Delivery Manager

Your primary point for all operational support and day-to-day requests. They typically determine if/when other functional Subject Matter Experts need to be engaged. Service Delivery Managers are our product SMEs for Clients when it comes to RxAgile® & RxIQ® capabilities.

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Flexibility is inherent in all that we do

You bet we've changed the game.

From our transformative business and service models to pick and choose accelerators, our scalable adjudication platform to customizable reporting and alerts (with everything available in your brand), we believe in providing you with options. It’s your business. Our solution just makes it easier to do it better, faster, and way more easily. You’re welcome!

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What else would you like to learn about today? 

 

Transformative Model

Transparency, control, flexibility are all long over due. We got here as fast as we could.

 

Interoperability

This is table stakes for us. Find out just how well we do this.

 

RxAgile

Dig into more details about the claims adjudication engine that could.

 

Business Accelerators

Whether you're new or been there, we've got an accelerator for you.

 

Service Model

We're here for you. In the way we wished our PBM was there for us and wasn't.

 

Security & Continuity

We're rather proud of all the badges we've earned and the downtime we haven't had.

 

RxIQ

Beyond reports, data, and analysis, find out what else RxIQ can do.

 

Strategies

Our recommendations leverage automation and machine learning.

 

Who We Are

Learn more about our leadership and why we decided to build these platforms.