Unmatched clinical depth and pricing accuracy.
Patented technology analyzes every claim in real time to find every way members can save on prescriptions.
Designed by pharmacists, the Rx Savings Solutions clinical pricing algorithm is the backbone of our game-changing technology. It layers on existing benefits without changing plan designs and works with any PBM or engagement solution already in place.
Clinical Depth & Expertise
A dedicated team of pharmacists curates, updates and reviews our 38,000+ 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.
85-90% of our saving suggestions are simple, clinically-based alternatives.
Here are just three examples:
THERAPEUTIC ALTERNATIVES
Similar prescription that treats the same condition.
Avg. Member Savings
$188 per fill
Dosage Form
A different form of the same medication—tablet vs. capsule or gel vs. lotion.
Avg. Member Savings
$127 per fill
Generic Options
The same active ingredients and the same effects.
Avg. Member Savings
$272 per fill
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.
