Excessive copays and denied claims prevent patients from obtaining their medications. But they also mean lost sales for the pharmacy, and staff time spent identifying therapeutic alternatives. Now though, there is a win-win solution. PrimeRx eVoucher & denial conversion Services allows patients to get the medications they need while pharmacies enhance their bottom lines.
Access to manufacturer-sponsored vouchers at point of sale, which help reduce patient copays.
Conversion of claims rejected as non-reimbursable to “paid,” thus allowing the pharmacy to dispense the medication and receive reimbursement.
PrimeRx eVoucher & Denial Conversion services is a manufacturer-sponsored program through the PrimeRx Pharmacy Management System. When your pharmacy processes a prescription through PrimeRx, the system automatically searches for applicable vouchers. Voucher amounts are automatically applied to the medication’s cost, which reduces the patient’s copay.
Denial Conversion is another manufacturer-sponsored solution available through PrimeRx. Should a claim be rejected as non-reimbursable, the Denial Conversion solution converts the transaction to “paid,” thus allowing the patient to receive the prescribed medication [Note: Government plans are excluded.]
Pharmacies are reimbursed by PrimeRx for the cost of the medication
The pharmacy also receives an administrative fee
Patients leave the pharmacy with their medications
Immediate copay savings
Reduced out-of-pocket costs
Improved medication adherence
Eliminates the need to retain paper coupons since the entire process is electronic
Advances the pharmacy’s role as a trusted healthcare provider
Allows the pharmacist to help patients obtain their medications
Pharmacies receive an administrative fee based on the volume and amount of Denial Conversion transactions completed
Improved time efficiency by eliminating pharmacy workflow steps:
Reduces prescription abandonment
Builds customer loyalty and improves customer retention
Seamless integration with PrimeRx
Free membership with no hidden fees
