Powerful, Yet Simple
Clinical and cost transparency technology for actionable intelligence.
We know of no other transparency solution that converts so many pharmacy and benefit data points into easy-to-understand choices. Nothing matches the clinical horsepower and patented logic behind it. The output? Simple, accurate and actionable guidance to lower prescription costs.
Simply layer RxSS onto any existing pharmacy benefit with zero disruption to members, your PBM relationship or benefits ecosystem. Your members are informed when prescription savings are available—including opportunities that other pharmacy solutions might miss.
Clinical Depth & Expertise
A dedicated team of pharmacists curates, updates and reviews our 60,000+ clinical, dose-adjusted savings suggestions. We utilize the same peer-reviewed, evidence-based guidelines that CMS, health plans and PBMs use to create their coverage criteria and approved uses.
Clients feel confident knowing we give their members information and guidance that is:
Safe
Trusted
Cost-Effective
Safe
Trusted
Cost-Effective
Beyond Price Shopping
Our technology always lets members know if they can save money by using a different pharmacy or home delivery. And those are often great options, but they’re not enough.
92% of our saving suggestions are simple, clinically-based alternatives.
Here are just three examples:
THERAPEUTIC ALTERNATIVES
Similar prescription that treats the same condition.
Dosage Form
A different form of the same medication—tablet vs. capsule or gel vs. lotion.
Generic Options
The same active ingredients and the same effects.
Discount Cards + Coupons
We offer an optional feature that shows members the most affordable discount card for their medication, along with the clinical savings suggestions we’re known for. When members use a discount card, plan sponsors save 100%.
Here’s how it works:
RxSS analyzes pricing from multiple discount cards and shows members the option with the lowest price. This pricing is displayed with other savings opportunities generated by RxSS.
No searching for coupons or calling the doctor to transfer a prescription—RxSS does it all for members. Certified pharmacy technicians can explain how options work with or without insurance.
RxSS clients who enable our discount card feature get aggregate reporting that includes usage, savings and more. Reporting for claim-level data is also available for members who have completed a HIPAA authorization.
Pricing Accuracy
Clinical expertise is only one part of the equation. Real prescription transparency comes when members have real-time pricing to let them see the full picture.
That’s why our technology keeps up as the market shifts. It is constantly updated based on the Gold Standard and Medi-Span drug databases to ensure the pricing and other information members see is current and reliable.
Updated daily:
Pricing Information
Drug Product Data
Drug Images
Patient Education
Pricing Information
Drug Images
Drug Product Data
Patient Education
Real Member Savings
Doctors can’t know all the details about a member’s insurance coverage or how much a prescription will cost at the pharmacy. We do.
Doctor prescribes an oral disintegrating tablet for a 90-day fill, thinking it was the lowest-cost option.
We found a chewable tablet of the same drug and the same dosage for a 90-day fill.
$2,925 saved per fill (member + plan)
Doctor prescribes an oral disintegrating tablet for a 90-day fill, thinking it was the lowest-cost option.
We found a chewable tablet of the same drug and the same dosage for a 90-day fill.
$2,925 saved per fill (member + plan)
On Formulary, In Plan
Implement technology that flexes to match everything you have in place—plan design, PBM, formulary, networks, rebates and utilization management. It’s easier than you may think.
See how we worked with the global software leader SAP to create a smooth implementation that aligned with their PBM and benefits platform.
