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RxIQ® Enterprise

The future of pharmacy benefit management is here

RxIQ® Enterprise is a cloud-native PBM platform built to bring your pharmacy benefits into the modern era. It’s smarter, faster, and designed for self-service. With real-time data at your fingertips, you can simplify benefit management, make quicker decisions, control costs, and ultimately improve patient outcomes.

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Simplified benefits

RxIQ Enterprise features

More than software. This is control.

Quick, intelligent claims adjudication

Process claims in real-time with unparalleled speed and accuracy. RxIQ Enterprise ensures streamlined transactions and eliminates delays and inefficiencies that plague traditional PBM software.

An image showing the high-level of accuracy (99.8%) you can achieve when using claims adjudication with the RxSense claims processor and volume capacity metrics.

Flexible pricing capabilities

Adapt quickly to evolving market demands. Our dynamic pricing engine allows for tailored pricing strategies that optimize cost savings while maintaining compliance and transparency.

RxSense connects market analysis, regulatory compliance, real-time optimization and customer segments.

Effortless clinical & formulary management

Manage clinical programs and formulary structures with ease. RxIQ Enterprise simplifies rule configurations and automates workflows, reducing administrative burden and ensuring alignment with strategic goals.

Formulary management. plan structure and member eligibility.

Intuitive hierarchy & benefit configuration

Gain complete control over plan structures, member eligibility, and benefit tiers. Our platform’s flexible architecture makes it easy to design and modify benefit configurations to meet your organization’s unique needs.

RxSense allows for hierarchical benefit configuration on a unified global platform, wiht region-specific configuration and automated compliance checks.

Case study

How a health system launched their own PBM in just months

A leading health system set out to launch its own PBM with direct access and an easy-to-use adjudication and benefits platform. With RxIQ Enterprise and RxSense by their side, they achieved it in within months.

Read the case study
A pharmacist in a health system pharmacy prepares a prescription.
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Flexible to fit your business

One size doesn’t fit all. We offer adaptable service models designed to meet your specific needs—from turnkey solutions to fully-custom integrations, we provide any level of support to empower your success.

Explore our service models

Related products

More insight. More control. Less complexity.

Every solution we build is designed to give you more control, deeper insights, and greater efficiency in managing pharmacy benefits. Explore how RxSense solutions work together to create a seamless, high-performance ecosystem.

  • RxIQ® Business Intelligence

    Gain real-time insights to optimize operations and make informed decisions with ease.
  • RxIQ® Price AI

    Automate cost controls with advanced AI-driven pricing optimization.
  • RxIQ® Autosave

    Seamlessly compare benefit and discount card prices to automatically secure the lowest cost for members.