RelayHealth Pharmacy Infographic

RelayHealth Pharmacy Solutions manages the nation’s most reliable pharmacy connectivity network. Managing more than 18 billion pharmacy transactions annually, we connect more than 50,000 U.S. retail pharmacies with key healthcare stakeholders, such as:

  • Physicians
  • Health plans
  • Pharmacy benefit managers (PBMs)
  • Government agencies
  • Pharmaceutical manufacturers

Improve patient outcomes with value-added clinical services, increase medication accessibility and adherence, and streamline operational efficiency


Manufacturers

Drive new patient acquisition, promote medication adherence, improve regulatory compliance, and expand medication accessibility.


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Pharmacies

Improve prescription claim reimbursement accuracy, drive medication adherence, mitigate audit risks, and improve patient outcomes.

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Providers

Improve patient care coordination and drive medication adherence at the point of prescribing.

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Health plans and PBMs

Automate medical claims billing and customize pharmacy benefit plan designs.

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Manufacturer services

eVoucherRx™ for Manufacturers
Improve patient medication adherence, accessibility and outcomes by delivering co-pay savings automatically at the point of dispense.

Continuity of Care for Manufacturers
Automate prior authorization efficiencies and expedite patient time to therapy for your medications.

Denial Conversion
Increase patient accessibility to your pharmaceutical brand medications with prescription cost savings on rejected claims.

NotifyRx™
Mitigate risk and optimize patient safety programs with real-time medication safety notifications to pharmacy staff at the point of dispense.

SafeCardRx™
Bolster your brand’s compliance efforts by preventing co-pay savings cards and coupons from being applied to known government-funded prescriptions.

RxBenefit Clarity™
Improve physician and pharmacy productivity, as well as patient medication adherence and satisfaction. RxBenefit Clarity provides real-time patient-specific pharmacy benefit information at the point of prescribing.

Pharmacy services

AWP Resubmission Services
Improve third-party pharmacy claims reimbursement accuracy with average wholesale price monitoring.

eVoucherRx™ for Pharmacies
Apply co-pay savings to patient prescriptions at the point of dispensing.

Excluded Prescriber Monitoring Service
Get real-time prescription claims monitoring for OIG-excluded prescribers.

Pre and Post Editing Solutions
Improve productivity and optimize reimbursement with actionable messages for pharmacy staff during claims processing.

Prescriber Authority Service
Validate DEA prescriber authority at point of dispense for controlled substances.

RelayRx™ Audit Intervention Service
Protect against pharmacy claims audit triggers at the point of dispense.

RelayRx™ Claim Audit and Risk Evaluator (CARE)
Protect your community pharmacies against audit-triggering claims transactions within workflow.

RelayRx™ Continuity of Care for Pharmacies
Automate prior authorization efficiencies without delaying patient access to their medication.

RelayRx™ PriorAuthPlus
Automate the prior authorization process for pharmacists and prescribers.

RelayRx™ Reimbursement Performance
Improve your community pharmacy third-party claims reimbursement accuracy with average wholesale price monitoring.

Risk Evaluation and Mitigation Strategies (REMS)
Protect patients and improve pharmacy compliance to federal REMS programs.

RxSafety Advisor™
Protect your patients from medication dispensing errors.

Provider services

RxBenefit Clarity™
Get patient, pharmacy and medication-specific pharmacy benefit coverage information in real time, in workflow, in your EHR.

Health plan and PBM services

Managed Care Optimizer™
Process medical claims efficiently and accurately with a predictable monthly expense.

ProPBM™
Control your pharmacy benefit programs with this platform for pharmacy benefit managers.