RxBenefit Clarity: Real-Time Pharmacy Benefit Cost Transparency in the Physician EHR

Get real-time pharmacy benefit coverage and price information for the patient during the physician’s prescribing process.

  • VIDEO

    RxBenefit Clarity

    Find out how you can improve physician and pharmacy productivity—as well as patient adherence and satisfaction—when you integrate RxBenefit Clarity into a physician's EHR.

RelayHealth’s RxBenefit Clarity™, in collaboration with , gives physicians the power to view medication-specific prescription cost information in real time at the point of care. This pharmacy benefit inquiry platform lets physicians make appropriate drug selections within the Electronic Health Record (EHR). The system automatically displays a patient's out-of-pocket costs and other benefit information before the prescription is submitted.

Medication non-adherence adds more than $280 billion in avoidable costs to the U.S. healthcare system each year. Patient out-of-pocket costs for prescriptions is one leading cause. Another is a lack of transparency for plan prescription benefit information during the prescribing process.¹¸² RxBenefit Clarity can help patients understand prescription benefit and cost at the point of prescription.

Improve medication adherence and save patients money

With RelayHealth Pharmacy RxBenefit Clarity, physicians view the same information a pharmacist sees when they submit a prescription for benefit coverage verification and price transparency. RxBenefit Clarity also dramatically improves medication adherence by letting physicians navigate certain information directly within their workflow (before submitting the prescription), including:

  • Communication about patient responsibility for prescription cost
  • Necessary adjustments to out-of-pocket cost information
  • Prescription-fill barriers that may hinder pick up at the pharmacy (e.g. product not covered, prior authorization required, plan limit exceeded)
  • Conversations with patients regarding the importance of adherence to the prescribed medication
  • Electronic submission of prescription within EHR workflow

Benefits for physicians and staff:

  • Higher office productivity (less disruption, fewer callbacks from pharmacy regarding prescription benefits and medication costs)
  • Accurate, real-time formulary information in EHR prescribing workflow

Benefits for pharmacies:

  • Cleaner prescriptions for improved pharmacy staff productivity
  • Opportunity for higher prescription fill rates and reduced restocks
  • Improved patient experience in the pharmacy

Benefits for patients:

  • Increased opportunity for awareness of prescription benefit coverage
  • Improved patient medication adherence — which may lead to better health
  • Prescription drug price transparency at the point-of-care

¹Annals of Internal Medicine. “Interventions to Improve Adherence to Self-administered Medications for Chronic Diseases in the United States: A Systematic Review” December 4, 2012, Vol 157, No.11.

²D.P. Goldman. “Pharmacy Benefits and the Use of Drugs by the Chronically Ill,” JAMA, May 2004.

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    Contact RelayHealth Pharmacy Solutions.

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    (800) 868-1309

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