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RxSense

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RxSense Products (3)

   
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Pharmacy Benefit Manager (PBM)

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Pharmacy Benefit Provider

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Pharmacy Cost and Transparency Tools

Product Description

RxSense is not a PBM. However, we provide all the necessary tool to enable other PBMs. We currently partner with the following PBMs:

- Optum
- CVS/ Caremark
- AffirmedRx
- LevRx
- ProAct
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About this product

×
RxSense is not a PBM. However, we provide all the necessary tool to enable other PBMs. We currently partner with the following PBMs:

- Optum
- CVS/ Caremark
- AffirmedRx
- LevRx
- ProAct

Min. Group Size

1,000 eligible

Lives Serviced

4,500,000

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

✓

Prescription Discount Card

✓

Cash Pay Options Accounted For

✓

Live customer service

✓

90-day fills at retail

Not Provided.

RxSense Info

Founded:

2015

Funding Summary:

None

Location:

99 High St, Boston, Massachusetts 02110, US

Links:

Employees:

381
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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