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RxSense

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RxSense Products (2)

   
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Pharmacy Benefit Manager (PBM)

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Pharmacy Benefit Provider

Product Description

RxIQ® Enterprise is RxSense’s turnkey enterprise platform that enables a private-label experience for benefit administration and claims adjudication, with integrated business intelligence. It pairs a user-friendly, intuitive interface with a secure, modern architecture designed to deliver high accuracy, consistent outcomes, and greater operational confidence. The platform is built to flex... Show More

About this product

×
RxIQ® Enterprise is RxSense’s turnkey enterprise platform that enables a private-label experience for benefit administration and claims adjudication, with integrated business intelligence. It pairs a user-friendly, intuitive interface with a secure, modern architecture designed to deliver high accuracy, consistent outcomes, and greater operational confidence. The platform is built to flex with today’s benefit administration challenges and is delivered as a 100% cloud-based solution using a leading cloud provider to support cutting-edge security. Its compliance and assurance posture includes HIPAA compliance and HITRUST certification, supported by policies and security controls that remain current. RxIQ Enterprise is also engineered for scale and resiliency: it auto-scales and provides full redundancy, flexibility, and effectively unlimited capacity across multiple zones and locations. RxIQ Business Intelligence, embedded within the platform, provides interactive dashboards spanning key PBM performance indicators and supports white-labeled reporting that can be efficiently distributed to downstream clients. The analytics experience is intentionally approachable, enabling users to evaluate plan performance without requiring a data science background. Data is refreshed in real time, at least hourly, and the platform delivers customizable, real-time alerts for virtually any financial or clinical threshold so teams can identify issues sooner and intervene at the earliest opportunity for clients today.

Min. Group Size

1,000 eligible

Lives Serviced

24,000,000

Average Cost

Average Cost is Locked

0 RFI Questions RFI questions

RFI questions number is Locked

26 Specific Questions Specific Questions tooltip

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Product Features

✓

Manufacturer assistance fill-in

✓

Pass-Through, Admin Fee Only Contracts

✓

Rebate administration

✓

All Specialty Pharmacies Allowed

✓

Formulary customization

✓

Multiple formulary options

Show All Features

Product Features

×
✓

Manufacturer assistance fill-in

✓

Pass-Through, Admin Fee Only Contracts

✓

Rebate administration

✓

All Specialty Pharmacies Allowed

✓

Formulary customization

✓

Multiple formulary options

✓

Flexible plan design options

✓

Specialty drugs excluded

✓

Utilization management carve-out

✓

Utilization management

✓

Price Estimation Tool

✓

Price Finder

✓

Drug Coupon Locator

✓

Prescription Discount Card

✓

Cash Pay Options Accounted For

✓

Live customer service

✓

90-day fills at retail

✓

Physical or digital ID cards

Not Provided.

RxSense Info

Founded:

2015

Funding Summary:

None

Location:

99 High St, Boston, Massachusetts 02110, US

Links:

Employees:

358

Competitors

RxSense is a health technology company, founded in 2015 – combining PBM industry veterans with industry-leading tech talent – that quickly became a leader in SaaS technology. In our PBM lives, we experienced, firsthand, the pain of being tied to antiquated, traditional PBM... Show More

About this vendor

×
RxSense is a health technology company, founded in 2015 – combining PBM industry veterans with industry-leading tech talent – that quickly became a leader in SaaS technology. In our PBM lives, we experienced, firsthand, the pain of being tied to antiquated, traditional PBM legacy systems, and we solved for these challenges in our enterprise platform solution, RxIQ® Enterprise, for pharmacy benefit administration and business intelligence.

With this unifying platform as a core and eliminating data friction, embedded with machine learning and AI-based automation, we have expanded our innovation in new directions to encompass a product spectrum with a reach around the pharmacy ecosystem.

Today, we enable a broadening range of business-to-business client verticals with our RxIQ® product line: PBMs and health plans; entities who own their own pharmacy dispensing channels, such as IDNs (Integrated Delivery Networks), grocers, and health systems. We also provide an integrated benefit offering and a cost management solution.

RxSense Clients

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