RxClaim^® is a flexible, easy-to-use system that manages all aspects of pharmacy benefits. At its core, it’s a claims processing engine designed to perform online, real-time adjudication of prescription drug claims at the point and time of service. RxClaim gives clients virtually unlimited flexibility in designing and administering their pharmacy benefit designs and protocols. A flexible, table-driven benefit design drives all the processing performed by the system.

RxAuth™ is a flexible, efficient prior authorization (PA) management solution that leverages the powerful PA capabilities housed in RxClaim to automate the PA process from end to end. RxAuth supports the entire PA lifecycle, from receipt of the request, through rules adjudication, to execution of the resulting decision.  

RxBuilder™ is a web-based interface for formulary creation and maintenance. Its rules-based approach minimizes the work of list building and maintenance operation and captures efficiencies in sharing formulary information between lines of business. 

RxExchange™ is the e-prescribing provider’s view into RxClaim for member eligibility, formulary and medication history information. With a single request from an e-prescribing vendor, the doctor can request a patient’s insurance eligibility and formulary information.

RxExpress^® is a single-source solution for pharmacy management that enables businesses to improve workflow productivity and control costs. Highly versatile, it serves mail order, specialty, retail / central fill or high-volume pharmacies and offers access to comprehensive data processing solutions that are critical to maintaining a competitive edge in the marketplace.

RxMax^® is a flexible, scalable rebate management system that empowers users to manage and track contractual arrangements with pharmaceutical manufacturers at their desktops. It’s an excellent system for managing client relationships through contract management, notes facilities, market-share calculation and creation of billing details and summaries.

RxParallel™ enables clients to thoroughly and accurately test plan changes before they are installed. It delivers a true regression test of product changes to help clients mitigate risk, confirm expected results and avoid unintended consequences by pre-testing proposed changes using their own claims and claims history. 

RxPortal™ invites members to learn more about their prescription benefit program, drug information and related industry news. Members can locate in-plan pharmacies, obtain co-pays for their prescriptions and print out their medication history. Fully customizable, it can feature a client logo and name, link to your website and provide up-to-date news bulletins to keep members informed. 

RxProvider Portal™ allows physicians and pharmacists easy access to members’ plan information from RxClaim, to provide more accurate and cost-efficient prescription medications. This portal gives physicians the ability to search a specific prescription number and view details of that claim, remittance advice, forms and contracts, and member eligibility information.

RxServer^® is the catalyst for the collection, control and sharing of prescription information among pharmacies within a participating group. Developed with the latest in client server technologies, it’s the enablement product for real-time information sharing with other systems or applications. 

RxTrack^® is web-based application that easily generates powerful reports from claims data. Using this application, clients are able to evaluate their own data online via pre-developed or customized reports. The reporting tool enables users to roll up the data with various options for custom analysis through a simple-to-use application.

RxView™ helps employers assist their members in prescription benefits management by providing a limited look into a member’s plan information. Using an easy-to-use, web-based application accessible via a secure, unique URL, clients can retrieve and edit a member's eligibility date span, demographic information, view claims history and request ID cards. 

Zynchros™ is a secure web application built for the creation, maintenance and submission of Medicare Part D formularies.
Embedded validation and comparison tools ensure formulary exports satisfy the latest CMS requirements and by generating all data from the same source, processes are consolidated and communication is improved.