Next-generation technology and a user-friendly, customizable interface to meet the unique needs of every Covered Entity
The RxStrategies Contract Pharmacy Management solution offers user-friendliness, seamless integration, enhanced security and a transparent fee structure that ensures 340B savings benefit the covered entity and their patients. Our audit-proven eligibility matching methodology ensures precise qualification for every transaction, maximizing program benefits while elevating compliance.
Our cloud-based platform offers unrivaled control of your contract pharmacy network through an efficient and user-friendly interface. Our system simplifies program oversight and provides useful tools to optimize all facets of your 340B program.
RxStrategies utilizes real-time claims capture technology for "cash" or "subsidy" benefits, so patients can realize the cost savings derived from the 340B program. With complete customization and flexible pricing models, patients can pay the full 340B drug cost, receive a percentage discount, or benefit from subsidies in the form of flat dollar amounts, tiered structures, or percentage-based subsidies. Additionally, a lesser-of-logic approach may be utilized as well.
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Utilization of the referral capture module enhances a covered entity's ability to track and capture valuable specialty referral scripts through an automated workflow.
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RxStrategies native ESP submission tool allows covered entities to easily opt-in to transmission of pre-formatted ESP data.
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Our team of network expansion resources can provide an analysis of new or mature networks to suggest new contact pharmacy partners or termination of under-performing relationships.
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The claim review workflow allows users to review partially matched claims to determine if they should be captured. The partial matches can be approved or rejected with the option to attach supporting documentation for future reference.
- Robust and customized reporting and analytics provide users with detailed and insightful visibility into daily, weekly and monthly program activity. All data elements can easily be exported from the platform in multiple data formats.
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Manual Ordering capability provides detailed order management functionality including manual order generation. Review and decrement orders before placement or utilize split ordering with multiple bucket options for owned or in-house pharmacies.
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The platform allows users to place claim reversals on demand and block all future refills for specific prescriptions.
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Detailed provider and location management tools allows users to view, change or add providers and department codes.
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The configuration view provides visibility into contract pharmacy configurations including eligibility, fees, and business rules.
Our team implements contract pharmacy networks with accuracy and efficiency. With our expertise in analyzing and processing various data types, we offer guidance in creating customized business logic, policies, and procedures tailored to your Covered Entity's unique requirements.
