Surescripts® Real-Time Prescription Benefit for Pharmacies
An estimated 4 out of every 10 patients ask their pharmacist about less expensive medication alternatives.
As every pharmacist knows, responding to these requests takes valuable time and delays in fulfillment increase the likelihood of non-adherence.
Now, there is a way to quickly and thoroughly address medication cost concerns. The Real-Time Prescription Benefit for pharmacy, powered by Surescripts® allows pharmacists immediate visibility into patient medication benefits, along with options for cost-effective therapeutic alternatives. In the process, pharmacies benefit from improved workflow efficiency.
Arm your team with the tools they need to improve patient outcomes, reduce prescription abandonment, and enhance pharmacy workflows.
Real-Time Prescription Benefit by Surescripts
What is Real-Time Prescription Benefit?
Real-Time Prescription Benefit provides a direct connection between pharmacists and a patient’s benefit plan. With access to this information, pharmacy staff can eliminate the time-consuming task of manually investigating formulary coverage, lower-cost alternatives, and fill quantity options.
With this tool, pharmacists have an efficient new solution for helping patients get the medications they need, at a price they can afford.
Typical Benefits Include:
- 75% reduction in staff time spent responding to patient pricing concerns.
- 30% improvement in medication adherence rates.
- ½ -star improvement in Medicare Star Ratings.
- Simplified pharmacy-provider-payer communication process.
PrimeRx™ Interfaces with Real-Time Prescription Benefit for pharmacy, powered by Surescripts®
Here is how it works
The pharmacist can use Real-Time Prescription Benefit to view data including:
- Patient-specific benefit information.
- As many as five therapeutic alternatives
- Prior authorization requirements
- Out-of-pocket cost and deductible information
- Fill quantity options
Real-Time Prescription Benefit delivers this information directly from a patient’s benefit plan.
Key Advantages
With Real-Time Prescription Benefit, pharmacies can:
- Reduce instances of medication abandonment by offering affordable alternatives.
- Improve pharmacy workflow.
- Reduce – even eliminate – the need to reverse and rebill by intervening at the onset of the prescription filling process.
- Increase first-fill compliance.
- Improve pharmacy payer compliance and reduce DIR fees.
- Improve provider communication for prior authorization and change Rx requests.
Recent Expansion
- One of Surescripts PBM partners has recently added ~64.6 million patient lives, giving a significant boost for our end-users and their patients using the Real-Time Prescription Benefit solution.
- The expansion of 64.6 million patient lives brings the total approximate patient lives represented by Real-Time Prescription Benefit for pharmacy to more than 240 million.
- This coverage increase means a higher rate of returned information when a pharmacist or technician uses Real-Time Prescription Benefit.
More Features & Benefits
Surescripts® Real-Time Prescription Benefits for Pharmacies
What is Surescripts?
Surescripts is a health information technology company primarily known for operating a nationwide electronic network that connects pharmacies, healthcare providers, and benefit managers. The primary purpose of this network is to enable the exchange of healthcare information, including prescribing and dispensing medications, to improve the safety, quality, and efficiency of the healthcare system. Surescripts facilitates electronic prescriptions (e-prescribing), allowing doctors to send prescriptions directly to pharmacies electronically, reducing errors, and improving the speed of medication delivery.
Who participates in Surescripts?
Participants in the Surescripts network include a wide range of entities within the healthcare industry. These typically include pharmacies (both independent and chain pharmacies), health care providers (such as doctors and hospitals), pharmacy benefit managers (PBMs), and health information exchanges (HIEs). Essentially, any healthcare organization that handles prescriptions or medication management might be part of the Surescripts network.
Is Surescripts a good company?
The assessment of whether Surescripts is a “good” company can vary based on different criteria including service quality, impact on healthcare, business practices, and customer satisfaction. Surescripts has been recognized for increasing efficiency and safety in prescription medication delivery and for its role in enhancing the interoperability of health information technology. Evaluations might differ depending on individual experiences and the specific aspects of the company being considered.
What are the features of Surescripts?
Surescripts offers several features centered around the enhancement of the health information network, including:
- Electronic Prescribing: Allows providers to send prescriptions electronically to pharmacies, improving accuracy and speed.
- Medication History Services: Enables healthcare professionals to access a patient’s medication history and clinical documents to inform treatment decisions and enhance safety.
- Eligibility and Formulary Information: Provides real-time access to patient insurance and benefit data, helping providers know what medications are covered under a patient’s health plan.
- Clinical Messaging: Facilitates the secure exchange of clinical information between healthcare providers to coordinate quality care more effectively.
- Prescription Price Transparency Tools: Offers tools that show the cost of prescriptions under a patient’s health plan at the point of care, helping to make more informed prescribing decisions.
