ADVANCED SYSTEMS
POWERFUL RESULTS
State of the art financial & technology solutions
For Rx savings that just make sense.
ADVANCED SYSTEMS
POWERFUL RESULTS
State of the art financial & technology solutions
For Rx savings that just make sense.
ADVANCED SYSTEMS
POWERFUL RESULTS
State of the art financial & technology solutions
For Rx savings that just make sense.
ADVANCED SYSTEMS
POWERFUL RESULTS
State of the art financial & technology solutions
For Rx savings that just make sense.
Direct access to our unifying platform gives you unprecedented transparency into everything –
from benefit configuration to claims data.
TRANSPARENT, TRANSFORMATIVE BUSINESS MODEL
Control your own destiny.
We’re empowering your pharmacy benefits ecosystem – without competing with you.
It's your business. We provide you the platform to manage any or all of it easily, intelligently, in real time – and provide unrivaled support and accelerators designed to maximize your success.
Real-time business intelligence keeps you nimble. Business accelerators give you flexibility and help you scale while speeding up your market impact.
It's the power to disrupt.
What's better for your business?
RXSENSE
OTHERS
Traditional PBM and model
Outsourcing to your competitor
Pass-through, transparent cost of goods
From full service to self-service or best fit
Per claim, fee-based pricing
Optional, fee-based business accelerators
Private label branding
Modern, cloud-based, secure and stable
Real-time, auto-scalable, multiple redundancies
Intuitive UI for non-technical staff to easily configure benefits, investigate claims, run complex queries or reports
RxIQ | Our Unifying Enterprise Platform
Pharmacy benefits technology hasn’t kept pace with the rapidly evolving demands of the market. Those who want to innovate have their hands tied by overly complex, inefficient technologies full of friction.
With RxSense, you're in control of defining your pharmacy benefits strategy and ecosystem, on a single, unifying, transparent platform – all while receiving unrivaled operational support that flexes from full- to self-service according to your need.
RxIQ is the single SaaS platform that empower all of your offerings, centralizing data and functions that has traditionally been distributed across multiple vendors.
Enterprise Solutions are designed for PBMs of all stripes private-label, traditional, existing, and new. Whether you own your own pharmacy assets or are just getting started, or need a tech upgrade as an established PBM, we offer the leading enterprise platform and optional business accelerators to get you to market, quickly. And we do it all without competing with you.
✓ Adjudication
✓ Analytics
✓ API/Interoperability
✓ Optional business accelerators
✓ Financial mgmt tools
✓ Branded member tools
✓ Transparent, pass-through cost of goods
✓ Flexible operations support model
Ready to Fast-Track?
Our optional business accelerators get you to market quickly. Mix and match according to your need, on your timeline. Scale easily with competitive, pre-contracted cost of goods – use our partners/services or your own. You call the shots.
65k+ Pharmacies
Open network with flexibility to use as a wrap
Home Delivery
Pre-contracted mail order / home delivery service
Prior Authorization
Turnkey, full- or self-service
Specialty
Convenience, cost control and member-centered care
24 / 7 / 365
Client-specific member and pharmacy contact center
Clinical Programs
Full clinical and member program options
Limited Distribution
Configurable, and comprehensive specialty LDD wrap
Formulary & Rebates
Formulary management, rebate contracting
Member Tools
Private-label portal / apps (or leverage our APIs for yours)
Enabling Client Success
Support
Our client-centered, ongoing service approach means you have an entire team working to ensure your success – strategically and tactically.
Strategic Client Success Executive
Your primary point of contact to your strategic team, responsible for Contracts, Growth / Profitability, Client Retention and PG Monitoring / Reporting.
Service Delivery Manager
Your primary point for all operational support and day-to-day requests. They are technical experts in platform capabilities.
RxSense business intelligence software for healthcare creates actionable insights, accelerates your business, and changes the game of pharmacy benefits management.
