Real Time Benefits

Real Time Benefits provides coverage information and alternative drug options to the prescriber before a prescription is transmitted to the pharmacy. This information is based on the patient’s health plan, pharmacy, and selected drug. Real Time Benefits are automatically checked during the prescribing workflow.

1. Enter prescription information, then click the Prescribe button or select Queue Rx from the drop-down. If any data is returned by the Pharmacy Benefit Manager (PBM), the Real Time Benefits page opens.
   
   

   NOTE: If the information on the patient's health plan is incomplete, it is likely no results will be returned.

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2. Review the selected medication and alternatives that may be less expensive. Real Time Benefits returns the following information: 

   • Pharmacy Type (Retail, Mail Order, Specialty or Long Term Care)

   • Estimated Price (May be a specific amount or a range)

   • Dispense Quantity (May include days supply)

   • Pharmacy Name

   • Coverage Level (Varies by PBM, will include Prior Authorization Required link if appropriate)

   • General Messages (Plan Restrictions, Prescribing Suggestions)

3. Select the Radio Button next to the medication you want to prescribe.
   
   

   NOTE: The radio button defaults to select your original prescription. Selecting a different option will update the drug, pharmacy and dispense information.

4. Click Prescribe to proceed to the Transmit Rx page, or select Queue Rx from the drop-down to move the medication to the Pending Rx list.  

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5. On the Transmit Rx page, click the Transmit button to send the selected medication to the pharmacy.