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Working with us

Strategic support from our experienced team

At RxSense, our team brings together deep experience in prescription benefits, clinical strategy, and industry knowledge, paired with innovative technology experts who understand how to solve real-world challenges. From day one, we provide hands-on, responsive support tailored to your goals, whether you're launching a new program or optimizing an existing one.

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An RxSense employee listens to the client's needs in a consultation about pharmacy benefits.

Smarter starts here

Service models

Partnership is about flexibility

Whether you need a full PBM solution or modular tools and services to enhance your existing infrastructure, our service models give you the power to design what works for you and the flexibility to move between solutions as your needs or business model evolve.

Find the right approach for your pharmacy benefits strategy.

RxSense offers three flexible service levels—so whether you're modernizing a single function or ready for end-to-end transformation, there's a model that meets you where you are.

  • Standard

    Our core technologies, ready to go

    Get up and running quickly with access to any of our products—from real-time adjudication to member engagement tools. This option is ideal for organizations that want to modernize infrastructure without the need for deep customization or integration.

    • Unbundle the traditional PBM model

      RxSense’s customizable suite of products lets you select the products that fit your needs.

    • Choose only the solutions you need

      Select any of RxSense’s products to create a tailored approach.

    • Cloud-native architecture

      Our platform ensures seamless integration with your existing infrastructure and third-party service partners.

    • Modular flexibility

      Integrate additional products into your strategy in order to meet your goals.

  • Modular

    Customizable and connected

    Choose the products and services that fit your strategy—like real-time analytics, pricing engines, or member engagement tools—or use our best in class partners. Easily integrate with your existing vendors and workflows. This option is a great fit for teams that want flexibility, interoperability, and control without building from scratch.

    • Tailored, not one-size-fits-all

      Our modular model lets you choose the products and services that align with your strategy. You get exactly what you need, without anything extra and all at your own pace.

    • Build your ideal solution

      Seamlessly integrate RxSense products and services into your existing infrastructure. We enhance what you already have to help you create a customized PBM solution.

    • Flexible partner ecosystem

      Work with our best-in-class service partners or keep your existing partnerships—you decide. Our platform adapts to your vendor preferences without any disruption.

    • Collaborative solution design

      Our team works closely with you to align on your goals, system design, transparency, and measurable outcomes. From strategy to execution, RxSense is with you as a partner, not just as a product or service provider.

  • Full-service

    End-to-end PBM partnership, full RxSense support

    Tap into the full RxSense ecosystem—from plan design and network configuration to member support and ongoing optimization. We manage the day-to-day so you can focus on outcomes, with the full power of our platform and team behind you.

    • Turnkey solution

      Fully outsourced PBM operations with advanced technology and access to high-performing clinical, network, and service teams.

    • Quick implementation

      Go live in less than 6 months with a proven onboarding process that avoids any disruptions.

    • No additional staffing required

      Scale operations without adding headcount. We provide the infrastructure and support you need to operate at scale.

    • Real-time technology and data access

      Our cloud-native platform delivers real-time adjudication and performance visibility to help you continuously optimize.

    • Designed for efficiency

      Automate workflows, reduce manual tasks, and drive cost savings through a smart and streamlined process.

    • Experienced team, strategic support

      Our proven PBM and clinical experts work closely with you from implementation through on-going optimization.

Client support

We understand the complexities of pharmacy benefits and deliver flexible, scalable solutions built around your needs. Our approach is personal, proactive, and focused on driving better outcomes with greater transparency and control.

Comparison chart

Standard

Modular

Full-Service

Pick from any RxSense product – from our adjudication platform, business intelligence, or savings-focused products.

RxIQ® Enterprise

Optional

Optional

Optional

RxIQ® Business Intelligence (BI)

Optional

Optional

Optional

RxIQ® Autosave

Optional

Optional

Optional

RxIQ® Price AI

Optional

Optional

Optional

We provide our clients with the full range of pharmacy benefit services they expect, with greater flexibility and transparency.

Networks

Retail Pharmacy

No

Optional

Yes

Mail Pharmacy

No

Optional

Yes

Specialty

No

Optional

Yes
Clinical

Prior Authorizations

No

Optional

Yes

Core Clinical

No

Optional

Yes

Member Programs

No

Optional

Yes
Benefit Design

Benefit Configuration

No

Optional

Yes

Rebates & Formulary

No

Optional

Yes
Member Services

Contact Center Support

No

Optional

Yes

Member Portal/App

No

Optional

Yes

Member Communications

No

Optional

Yes
Reporting

Realtime Analytics

No

Optional

Yes

Alerts

No

Optional

Yes

Not sure which model is right for you? Our team is here to walk you through each option and customize a solution that aligns with your goals.

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Working with us | RxSense