Real-Time Pharmacy Benefit Check

Informed understand of medical  prescription choices, out-of-pocket cost, requirements & restrictions with Real-Time Pharmacy Benefit Check (RTPBC)

A phone with a green pattern on the back of it.A phone with a green pattern on the back of it.
RTPBC

Make the Right Prescription Choice

Discover a better way to select medicine and treatment with informed decisions at the time you first receive the prescription

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Problem

There is No Online or Digital real-time Access for Patients at the time of their Physician visit and No clear Understanding of Patient’s available drug an pricing options:

Cost of medication is Unknown:
          Insurance Coverage Portion
                           Vs.
            Out-of-Pocket Expense

Unavailable — Prescription variation and Alternative Options (including brand name vs. generic)

Unknown Alternative Pharmacy Options or Pricing Discounts

Missed Opportunity for Patients to make informed decisions

• There is No Patient Insight  or Knowledge for approval or denial

Up-in-the-Air —   It takes days, weeks or longer to receive decision (If Ever...!)

Dangerous Delays — for Acute, Chronic and Complex Conditions

Financial and Administrative Burden — Costly Provider and Payer misalignment

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Solution

• Convenient at the Time of the Prescription — Patients can leverage consumer apps that support RTPBC request to the payer

Consumer Apps found on MyHealthApplication gather prescription information, patient Insurance coverage, and preferred pharmacy to submit to Insurer via HL7 FHIR®


• Application presents and interprets the cost of coverage, requirements or restrictions, possible Discounts/Coupons/Memberships, alternative Pharmacy Options, mail Services, alternative medication options



Implement RTPBC IG
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Benefits

At the time of the visit, Patients have immediate access to prescription information:

• Patients can discuss  ALL  Available Options directly with Physicians

• Patients make Informed Choices on all their Prescription Options


Choose between paying Cash or using insurance Deductible

• Physicians submit order to the chosen Pharmacy

• Patients can Rest knowing they made the Appropriate Decision for their Care and Budget

Want to have a conversation about Real Time Pharmacy Benefit Check?