IntegrateRx™ — Eligibility, Formulary, and Medication History
Leveraging the extensive depth and breadth of our connective relationships between physicians, pharmacies, hospitals, payers, and government, RelayHealth has created a secure and direct connection between prescribers and healthcare plan administrators to facilitate improved patient service at the point of care. As a neutral party unimpeded by any partner constraints, RelayHealth can work with our clients to provide innovative approaches to accessing and optimizing the use of this information. Visibility to patient records and plan formulary provides a mechanism to avoid high impact cost contributors while facilitating the highest quality of healthcare.
By permitting visibility to plan prescription benefit at the point of treatment, productivity is increased throughout the entire healthcare supply chain. The patient is reassured that he has been prescribed the most cost effective product, minimizing out of pocket costs and eliminating surprises at the retail pharmacy counter. IntegrateRx permits the pharmacist to fill the prescription while minimizing the opportunity for out-of-plan rejection. This allows the physician and payer to avoid time consuming phone calls and permits plan benefits as designed to be communicated in product selection for the patient. Employers are assured that employees are receiving the most cost effective prescriptions therapy reducing the cost of healthcare.