Pharmacy Solutions

Solutions for Pharmacy Claims Adjudication, Processing & More

RelayHealth enables the secure exchange of clinical, financial and administrative information between patients, providers, payers, pharmacies, pharmaceutical manufacturers and government agencies.

The RelayHealth Pharmacy Solutions business manages the nation’s largest pharmacy network, providing essential healthcare connectivity to retail pharmacies, pharmaceutical manufacturers and payers. Supported by the industry’s most reliable and scalable network, RHP provides value added solutions that:

  • Automate prior authorizations
  • Improve prescription claim reimbursement accuracy
  • Provide prescription co-pay assistance at the point-of-dispense
  • Facilitate regulatory compliance

RelayHealth is dedicated to supporting and improving the financial and operational performance of all stakeholders involved in the provision of prescription medications. Combining our extensive pharmacy network with our unmatched understanding of those stakeholders' needs we deliver solutions that have a tangible and enduring impact on our customers’ performance.

Explore our pharmacy claims management solutions below, or contact us if you have additional questions.


RelayAnalytics™ Pharmacy Pulse

Protect Revenue, Optimize Operational Efficiency With Benchmarking Analytics

SafeCardRx

Preventing Penalties For Discounts On Government-Funded Prescriptions

Clinical Integration of the Pharmacy

Supporting Retail Pharmacy’s Role in Improved Care Delivery and Quality

Electronic Prescribing Services

A Proven Interface Between Prescriber and Pharmacist

AWP Resubmission Services

Maximize Revenue by Using Current Reimbursement Pricing and Recovering Lost Dollars

ProPBM℠

Real-Time Pharmacy Benefit Management

eVoucherRx™ for Pharmaceutical Manufacturers

Overcome Formulary Disadvantages and Increase Adherence for Your Brands

RelayRx™ PriorAuthPlus Powered by CoverMyMeds® for Pharmaceutical Manufacturers

Reduce Barriers to Prescribe and Fill with Automated Prior Authorization

Prescription Price Analyzer

Review and Compare Cash Price and Market Data on Your Most Common Products

Loss Prevention Analyzer

Manage Your Business Assets and Minimize the Potential for Loss

Prescription Sales Analyzer

Flexible, Customizable Reporting Based on Historic Sales Transaction Data

Pre and Post Editing

Minimize Claim Submission Errors and Maximize Reimbursements

REMS

Participate in REMS Programs Without Impacting Pharmacist Workflow

RelayRx™ Prescriber Instant Check

Real-time Data to Easily Confirm Prescriber Information

NotifyRx

Ensure Access to Actionable Drug Information at Point of Dispensing

Pharmacy Market Analyzer

Flexible, Customizable Reporting Based on all Pharmacy and Managed Care Information Across Your Enterprise

RelayRx™ PriorAuthPlus Powered by CoverMyMeds® for Retail Pharmacy

Reduce Barriers to Fill with Automated Prior Authorization

eVoucherRx™ for Retail Pharmacies

Automatically Apply Electronic Coupons at the Point of Dispensing

RxSafety Advisor™

Reinforce Medication Safety at the Point of Dispensing

RelayRx™ Reimbursement Performance

Maximize Reimbursements and Optimize Workflow

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