eVoucher & Denial Conversion Services
Empower patients to get the medications they need.
Excessive copays and denied claims prevent patients from obtaining their medications. But they also mean lost sales for the pharmacy, and staff time spent identifying therapeutic alternatives. Now though, there is a win-win solution. PrimeRx eVoucher & Denial Conversion Services allows patients to get the medications they need while pharmacies enhance their bottom lines.
PrimeRx eVoucher & Denial Conversion services provide critical capabilities that include:
- Access to manufacturer-sponsored vouchers at point of sale, which help reduce patient copays.
- Conversion of claims rejected as non-reimbursable to “paid,” thus allowing the pharmacy to dispense the medication and receive reimbursement.
What is eVoucher Service?
PrimeRx eVoucher & Denial Conversion services is a manufacturer-sponsored program through the PrimeRx™ Pharmacy Management System. When your pharmacy processes a prescription through PrimeRx, the system automatically searches for applicable vouchers. Voucher amounts are automatically applied to the medication’s cost, which reduces the patient’s copay.
What is Denial Conversion?
eVoucher & Denial Conversion services combine these critical capabilities into a seamless solution administered directly within PrimeRx.
- Denial Conversion is another manufacturer-sponsored solution available through PrimeRx. Should a claim be rejected as non-reimbursable, the Denial Conversion solution converts the transaction to “paid,” thus allowing the patient to receive the prescribed medication [Note: Government plans are excluded.]
- Pharmacies are reimbursed by PrimeRx for the cost of the medication
- The pharmacy also receives an administrative fee
What are the Patient benefits?
- Patients leave the pharmacy with their medications
- Immediate copay savings
- Reduced out-of-pocket costs
- Improved medication adherence
- Eliminates the need to retain paper coupons since the entire process is electronic
What are the Pharmacy benefits?
- Advances the pharmacy’s role as a trusted healthcare provider
- Allows the pharmacist to help patients obtain their medications
- Pharmacies receive an administrative fee based on the volume and amount of Denial Conversion transactions completed
- Improved time efficiency by eliminating pharmacy workflow steps:
- Copays are automatically adjusted, with no need for staff involvement
- No need to submit additional coordination of benefits claims
- Reduces callbacks and dispensing interruptions
- Reduces prescription abandonment
- Builds customer loyalty and improves customer retention
- Seamless integration with PrimeRx™
- Free membership with no hidden fees
