Working side by side with customers, RxSense:

• Eliminates Hidden PBM Revenue Streams
• Simplifies the Fee Structure
• Empowers Informed Descisions
• Aligns all Financial Incentives
• Helps Achieve Measurable Savings
• Provides Flexible Technology to put you in Control

The RxSense Pharmacy Benefits Services include:

Benefit Plan Design and Administrative Services

Up date your enrollment & eligibility information electronically or utilize our RxSense web portal to make changes instantly.  We also offer a full range of support services like the creation and dissemination of member enrollment cards.

Pharmacy Claims Services

The very best high speed, electronic claims adjudication supported by the drug utilization safety features necessary to protect your employees.

Formulary Management

Plan design specialists facilitate the creation of a formulary that will help you achieve your goals and provide maximum benefit to patients.  Drug and price information is updated automatically and the RxSense Portal allows complete control to effect changes where and when they are necessary. 

Rebate Services

Once we have selected the formulary items that make the most sense for your employees, we negotiate the best rebates so as to maximize your drug benefit dollars.  This contract management is done in a transparent manner and we facilitate fast, efficient payment.

Pharmacy Network Management

It’s about providing the coverage your employees need.  With an extensive list of pharmacy partners we can create the network that best fulfills their needs and provide access to contracts so that you know exactly what you’re paying for.

Patient/Enrollee & Provider Services

Our multi-lingual, 24 X 7 customer call center is at your disposal.  We provide patients “real-time” access to plan information, out-of-pocket expenses incurred, tools to discern the lowest cost alternatives, and clinical information about the proper utilization of their medications.

Cost Containment Programs

Programs and guidance to maximize savings; encouraging Generic and OTC Utilization, Step Therapy, Therapeutic Interchange, and mail-order prescriptions and specialty pharmacy services when we’ve determined it’s in your best interest.

Reporting Services

Instant access to “real-time” business intelligence.