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TRANSPARENT, TRANSFORMATIVE BUSINESS MODEL

Be your own PBM

It just makes sense for Health Systems.

You understand your patient and marketplace needs best. You already have the dispensing channels and knowledgeable staff. And with RxSense, you have the technology partner (not competitor) to enable your pharmacy strategy. 

Customize Your Solution

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Enabling your PBM with the technology and business accelerators you want, under your own brand.

Our advanced platform, RxIQ Enterprise, provides both adjudication and integrated analytics in a single platform. 

Despite misconceptions, you can start with as few as 10,000 lives or 100,000 claims – without needing any additional staff.

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Our API-driven system allows your enterprise to connect to other services and partners (yours or ours) – at the same time, providing the flexibility to pick and choose only what your team needs to operate under your own brand.

Insourcing is achievable.

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100,000 Claims

or 10,000 lives are all you need to consider becoming your
own PBM

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Own Revenue

generated through your program while only assuming responsibilities that fit the needs of
your organization

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Leverage

your dispensing channels, existing brand loyalty and resources to maximize your new pharmacy benefits revenue stream

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Direct Control

and transparency into
your pharmacy program – from formulary customization to internal
clinical programs

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Partners

not competitors. RxSense is a PBM enabler with a modern, secure, transparent adjudication and analytics platform 

Your Team
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PBM Business Management & Growth

Analytics to help you manage your business

Our groundbreaking PBM Financial Operations module leverages automation and machine learning to help you manage your PBM financial operations, maximize performance, optimize revenue, and support business development. Elements included in this are a Reprice Expediter, Standardized Dashboards and Reporting for things such as Contracts, Financial Guarantee Trackers, Pharmacy Network Performance Trackers. What's more, we provide sales and RFP support to help you grow.

To demonstrate the value of RxSense technology and services, we will provide your organization with a confidential, no fee Private-Label PBM Opportunity Analysis. We’ll need a 12-month, historical pharmacy claims set from your organization. From that, we can then provide you with:

  • A Summary of Findings to identify potential opportunities and issues specific to your existing PBM contract and adjudication services

  • A Playbook to show your organization how optimizing your pharmacy strategy positions you to create a new revenue stream while improving productivity and reducing operating costs

I'm ready for a no-fee PBM Opportunity Analysis.

Thanks for submitting!

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