Education and transparency for more cost-conscious prescribing decisions
Prescribers don’t know all the details about a patient’s insurance coverage. We do.
RxSS Direct to Prescriber closes a critical transparency gap at the point of prescription, where unnecessary spend most often begins for members and plan sponsors.
How It Works
RxSS Direct to Prescriber does for practitioners what our hallmark solution does for consumers: Provide clinically sound savings suggestions for prescriptions that also lower the total cost of care.
Prescribers get new insight on prescription pricing and options tailored to their patient’s insurance plan.
Savings opportunities are delivered to prescribers for approval via existing, proven functionality and workflow.
Members and plan sponsors save money through easy switches within the benefit design.
Rx Savings Solutions pioneered prescription price transparency for consumers. Now we’re offering the only pharmacy solution that empowers all parties—prescribers, care teams and members—to drive savings, satisfaction and positive outcomes.
Focusing on easy cost-saving switches and using a proven outreach workflow, RxSS educates the prescriber about lower-cost alternative medications and requests approval for a new prescription.
Health plan pharmacists, care coordinators and case managers are overwhelmed and over-tooled. RxSS Direct to Prescriber and our AdminRx platform enable them with transparency and the power to help members switch.
Proactive savings notifications let members take an active role in managing their household’s health and expenses.
insight where it matters most
Drug’s negotiated plan price
Insurance type, plan design
Formulary and tier
Copay, coinsurance and deductible status
(JAMA study, November 2021)
Clinical depth & Expertise
RxSS has a dedicated team of pharmacists that curates, updates and reviews our 35,000+ clinical, dose-adjusted savings suggestions. Since 2018, we’ve been working directly with healthcare providers to help our members switch—with an 85% prescriber approval rate.
SIMPLE SWITCHES, BIG COST SAVINGS
Easy cost-saving prescription switches are based on an ongoing review of claims and the member’s specific plan design. The trusted prescriber gets to determine whether the recommendation is the right decision for the member’s wallet and well-being.
$2,925 saved per fill (member + plan)
Please Note: RxSS Direct to Prescriber is available to select groups as an optional feature to our core solution.