• Click here for access to the following: claim search,
    condition information,
    copays, drug information,
    formulary, member
    reimbursement forms, drug
    pricing and pharmacy
    locator.
* Claim by claim analyses of all historical prescription data provided
  • * RxEDO’s Service Platform is applied to your data
  • * Your historical claims are re-processed in our system at the actual pharmacy location they originated from.
  • * To ensure accuracy we apply the pricing that was in force the day the claims were originally submitted to your re-processed claims
  • * Conclusion: RxeEvaluate™ provides a true comparison between what your costs would have been with RxEDO vs. what you currently pay.

 

  • We provide our RxeAssure™ quarterly review to detail results after you have transitioned to RxEDO.
  • The quarterly review reports on your pharmacy plan’s performance in respect to your historical claims data.
  • It reports on and validates the anticipated savings defined by our RxeEvaluate™ process.
  • It also reports on and identifies new drugs therapies and member utilization that can impact your pharmacy plan’s performance going forward.
  • Conclusion: RxeAssure™ provides our new clients with actionable information that supports their decision to transition to RxEDO

 

  • RxeFine™ was developed to identify management opportunities specific to your unique member drug utilization behavior.
  • It reports on specific therapeutic drug classes that drive your pharmacy costs and provides up to date results
  • It provides and identifies plan design alternatives that can improve your pharmacy plan’s performance
  • This allows you to make important benefit design decisions and control your pharmacy costs.
  • Conclusion: RxeFine™ enhances your ability to manage your pharmacy expense to the lowest net cost.

 

Based on our experience, RxEDO believes that the biggest opportunities to manage any one client’s prescription drug spending is through education.

Because each client’s member demographic and utilization patterns are unique, it is imperative that we study the prescription claims data to identify the best course of action for our clients. RxEDO works closely with each client to help determine the most appropriate benefit design. RxEDO also works to identify member and physician education opportunities that are in line with the client’s objectives.