R/xx Pharmacy Solutions , Inc.

Industry:	Drug Stores & Pharmacies
Revenues:	Under $20 Million

Description

R/xx Pharmacy Solutions, Inc. is one of the few truly independent "managed care" oriented pharmacy benefit management companies in the marketplace today. As a wholly owned subsidiary of a privately held managed care company founded in 1983, R/xx has perfected the managed case methods necessary to control pharmacy benefit costs, provide early detection of potential costly medical problems and at the same time, present this information in comprehensive and easily readable reports.

R/xx Pharmacy Solutions, Inc. focuses on an alliance between the client, the member, the pharmacy and the prescribing physician. We believe with the involvement of all principal parties working together, that we are able to provide substantial prescription drug benefits and contain overall utilization costs.

R/xx Pharmacy Solutions, Inc. believes that the utilization of prescription drugs is only a slice of the total healthcare continuum that needs to be integrated into a total medical care management process. Consequently, we work closely with our clients medical management team.

R/xx Pharmacy Solutions, Inc. is a national program that offers flexible plan design features enabling you to reach your overall program goals. We work with you in designing a unique plan and approach including a drug formulary customized to meet your individual prescription needs.

Pharmacy Services include:


A national network of 50,000 pharmacy providers including most major retail chains and national independent pharmacies.
Real-time electronic prescription claim processing.
Mail-order option to allow substantial savings on maintenance drugs. Prospective and Concurrent online Drug Utilization Review (DUR).
Comprehensive management reports provided at no additional fee. An experienced customer service "Help Desk" for members, physicians and pharmacy providers.
Retrospective drug utilization review to report any potential problems to be addressed. Clinical intervention and education with healthcare providers.
Informational material provided to both benefit managers and members.

To support our customers we provide:


Standard Monthly Reports Package
Monthly Executive Summary
Concurrent, Retrospective and Prospective Drug Utilization Review Programs
Open/Closed Formulary Management
Web site for Health Information and Medication Refills
Network Pharmacy Listing
Physician Profiling and Intervention
Disease Management Programs
National Pharmacy Network Management
Eligibility Maintenance
Pharmacy Connectivity Links
Plan Administration Information
Claim Forms and Reimbursement for Out-Of-Network Providers
Assignment of Benefits
On-line Utilization Review Services
Prior Authorization Processes
ID Card Production


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