Surescripts Real-Time Prescription Benefit System
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A Surescripts Real-Time Prescription Benefit System is a point-of-care integrated prescription benefit information system by Surescripts, LLC that can support prescription cost transparency tasks.
- AKA: Surescripts RTPB, Surescripts Real-Time Benefit Check, Surescripts Prescription Cost Tool.
- Context:
- It can (typically) deliver Surescripts Patient-Specific Formulary Information through surescripts ehr integrations.
- It can (typically) calculate Surescripts Out-of-Pocket Costs using surescripts benefit algorithms.
- It can (typically) suggest Surescripts Therapeutic Alternatives based on surescripts formulary rules.
- It can (typically) display Surescripts Coverage Information within surescripts prescriber workflows.
- It can (typically) process Surescripts Benefit Requests in surescripts real-time responses.
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- It can (often) identify Surescripts Lower-Cost Alternatives through surescripts drug comparisons.
- It can (often) show Surescripts Prior Authorization Requirements for surescripts medication selections.
- It can (often) indicate Surescripts Quantity Limits based on surescripts payer rules.
- It can (often) provide Surescripts Mail Order Options with surescripts cost savings.
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- It can range from being a Basic Surescripts Real-Time Prescription Benefit System to being a Comprehensive Surescripts Real-Time Prescription Benefit System, depending on its surescripts benefit information completeness.
- It can range from being a Single-Payer Surescripts Real-Time Prescription Benefit System to being a Multi-Payer Surescripts Real-Time Prescription Benefit System, depending on its surescripts payer network coverage.
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- It can integrate Surescripts Pharmacy Benefit Managers for surescripts formulary access.
- It can connect Surescripts Health Plan Systems for surescripts benefit verification.
- It can access Surescripts Drug Pricing Databases for surescripts cost calculation.
- It can utilize Surescripts Clinical Decision Support for surescripts alternative recommendations.
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- It can achieve 889,907 Prescriber Adoption demonstrating surescripts widespread utilization.
- It can generate $82 Average Patient Savings per surescripts prescription transaction.
- It can process Millions of Daily Queries supporting surescripts nationwide scale.
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- Examples:
- Counter-Examples:
- GoodRx Price Comparison Tool, which provides cash price comparisons without insurance integration.
- Pharmacy Discount Card System, which offers fixed discounts rather than real-time benefit information.
- Formulary Lookup Tool, which shows drug coverage but not patient-specific costs.
- See: Prescription Benefit Management, Drug Formulary System, Healthcare Cost Transparency, Clinical Decision Support System, Electronic Prescribing, Pharmacy Benefit Manager, Medication Adherence, Healthcare Affordability, Point-of-Care System, Drug Pricing Transparency.