Frequently Asked
Questions
General FAQ
Still have questions about Rx Savings Solutions? No problem, we’ve got answers. Check out these FAQ or schedule a time for our team to give you more information.
No, we give members the ability to search any medication to find the best prices and any lower-cost but therapeutically equivalent options covered by your health plan. However, what separates our solution from other tools is the ability to proactively notify members via email and text message about savings opportunities they already have.
No, we are not a pharmacy benefit manager (PBM) or health plan. We are an additional pharmacy service that layers on top of the existing pharmacy benefit and works in conjunction with your existing PBM and health plan to help navigate and optimize your pharmacy benefit. We work with all the major PBMs and many health plans across the country.
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Our proactive member engagement strategy has proven successful for client after client. We partner with our clients to ensure everything we do—from launch communications to savings notifications—works for your organization and your members.
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Members have two easy ways to see if they can save money on their prescriptions.
- Rx Savings Solutions will contact members if there’s a way to lower their prescription drug costs. They receive these messages—email, phone, text or letter—if there’s a chance to save money on current prescriptions or ones they start taking in the future. Members can opt out of receiving these messages anytime.
- A member’s Rx Savings Solutions account will always show any savings opportunities they may have on current prescriptions. Anytime they start taking a new prescription that’s covered by their insurance plan, it will show up on their account with any options they might have to save. Plus, members can use their account to proactively search for pricing on any medication before their healthcare provider writes a prescription.
Yes! A member’s Rx Savings Solutions online account will automatically show prescription drug information for any dependents on their health plan who are under the age of 18. Adult dependents are required to activate their own Rx Savings Solutions account and can then give access for others to view their information.
Call 1-800-268-4476 or email [email protected]. Rx Savings Solutions has a team of certified pharmacy technicians ready to help. No robots. No phone mazes. Just real pharmacy experts.
The majority of savings recommendations consist of therapeutic equivalent alternatives and dosage optimization for chronic medications, as well as simple price shopping. Rx Savings Solutions utilizes a patented algorithm that exhausts all clinical and fulfillment alternatives in search of savings. About 85% of savings generated are the result of clinical suggestions and others come from fulfillment changes.
Clients can choose to utilize RxSS’ optional feature that shows members the most affordable discount card for their medication. Our software analyzes pricing from multiple discount cards and shows members the option with the lowest price, along with with other savings opportunities generated by RxSS—therapeutic alternatives, price shopping, mail order and more. Note: Clients must receive PBM consent before enabling this optional feature.
Rx Savings Solutions was founded by a pharmacist and is staffed with in-house, licensed pharmacists who provide ongoing oversight. Our clinical savings technology is maintained and constantly curated by Pharmacy and Therapeutics (P&T) Committee. We use the Gold Standard clinical database, which is updated daily and includes all pertinent U.S.-approved drug product information. All recommendations are based on the same peer-reviewed, evidence-based compendia that hospitals, health plans, Medicare, Medicaid, and PBM’s use to establish coverage criteria and evaluate approvals.
Meet the P&T Team
Specialty medications typically don’t have as many therapeutic alternatives available as traditional products do. However, we advise and educate members on specialty medications to whatever generics or biosimilar options are available, and to utilize available manufacturer coupons and rebated products that are available in the specialty class. In cases where a mature or saturated therapeutic class exists, members are guided to the lowest-cost medications with the same indications. Our team will also review current specialty plan design and accompany programs such as copay utilization or site of care strategies to fully maximize plan design.
The biggest difference is purpose and function. MTM programs exist to optimize therapeutic outcomes by actively managing drug therapy and by identifying, preventing and resolving medication-related problems. We exist to provide personalized and proactive pharmacy guidance within the existing benefit, with the goal of saving the member money while still maintaining effective outcomes. Essentially, the respective goals are therapy management vs. financial optimization.
Member FAQ
Founded by a former pharmacist, Rx Savings Solutions works with employers and health plans to help their members find the lowest-cost options for prescription drugs. If your employer or health insurance company works with us, we’re already working for you.
Rx Savings Solutions offers a service that helps lower your prescription drug costs. This service doesn’t change anything about your current insurance plan, pharmacy preferences or other benefits. Our software is linked to your health insurance plan information so it can customize ways to lower your out-of-pocket prescription drug costs.
We find all the lower-cost medication options that treat your condition and are covered by your insurance. You and your doctor can decide what’s best for your health and budget. Here are just a few ways you might be able to save money:
- Generic forms of name-brand drugs
- Better prices at different pharmacies or through mail-order
- Equally effective medications that treat the same condition but cost less than your current prescription
There are two easy ways to see if you can save money on your prescriptions.
- Your Rx Savings Solutions account will always show any savings opportunities you may have on your current prescriptions. Anytime you start taking a new prescription that’s covered by your insurance plan, it will automatically show up on your account with any options you might have to save. Plus, you can use your account to proactively search for pricing on any medication before your doctor gives you a prescription.
- We’ll contact you if there’s a way to lower your prescription drug costs. You’ll receive these messages—email, phone, text, letter—if there’s a chance to save money on current prescriptions or new ones you start taking in the future.
Yes! Your Rx Savings Solutions online account will automatically show prescription drug information for any minor-age dependents on your health plan. Adult dependents are required to activate their own Rx Savings Solutions account and can then give you access to view their information.
Since our software is linked to your health plan, we know the details of your prescription drug benefits and use that information to find the lowest-cost options covered by your insurance. Your employer or health plan may also decide to have RxSS show you coupons and discount cards that are available. It’s important to remember that the money you pay for prescriptions using a coupon or discount card may not count toward your health plan’s annual deductible—but that could save you money.
Your account has a search feature to compare medication options and prices before your doctor writes a new prescription. Anytime you start taking a new prescription that’s covered by your insurance plan, it will automatically show up on your online Rx Savings Solutions account (unless you used a coupon card that takes you outside of insurance). You’ll be able to see any options you might have to save money, and you’ll receive a message if you’re paying too much. Better yet, you can access your account with a mobile device and search for the lowest-cost option at the time your doctor writes the prescription.
By using Rx Savings Solutions, members consent to our collection/use/disclosure of their personal information, but only for the purposes of providing our service. This includes claims information, such as the prescriptions you filled, how much you paid, and which pharmacy you utilized. We may automatically gather and keep track of information about a member’s visit to the member portal and their activity. Unlike many websites, we track this only for activity within our own site, never other web browsing.
Rx Savings Solutions will not expose your personal health information to anyone, including your employer. Our business depends on holding your personal health information in the strictest confidence. Like your health insurance carrier, your doctor(s) and your pharmacy, we are legally bound to the Security Rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA Security Rules). To learn more about how Rx Savings Solutions handles your information, please see our Privacy Policy.
We may use and disclose health information with service providers for data analytics purposes, but it is always “deidentified,” i.e. not attached to your identity and contains no protected health information.
Need help?
Our support team is available at 1-800-268-4476 7 a.m.–8 p.m. CT, Monday through Friday, or by email at [email protected]
