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Surescripts
Managing prescription drug costs has never been more important
Your clients look to you for innovative solutions to keep patients healthy and satisfied while reducing the total cost of care. Today, that’s more challenging than ever.
Medication costs keep rising.
More and more patients are managing chronic conditions. Advances in life sciences are promising—but the price tag is often high.
Nearly a third of U.S. patients now face three or more chronic conditions.1
Specialty medications now account for 55% of total medicine spending in the U.S.2
Administrative burden adds up.
You have the data needed to optimize medication decisions in a complex market. But without easy access to your insights, providers struggle with rework and paperwork.
U.S. physicians cite “too many bureaucratic tasks” as their #1 cause of burnout.3
Solutions
Share medication insights in real time
Intelligent Prescribing
Lay the groundwork for safe, timely prescriptions with automation built for high data quality and insight into preferred medication options.
Intelligent Prior Authorization
Reach clinically appropriate prior authorization decisions as quickly as possible, so patients can start treatment sooner.
Interoperability
Inform treatment and transitions of care by giving clinicians and care managers more medication insights through better communication channels.
Benefit & Price Intelligence
Share prescription benefit intelligence when and where it’s needed, making it easy to choose the best medication.
Care Team Evolution
Help your members receive exceptional care wherever they seek it by bringing more cost and coverage information to practitioners throughout healthcare.
Value-Based Care
Pinpoint opportunities to improve adherence, avoid unnecessary costs and close gaps in care with a sharper view of patient medication history, and benefits.
Tap into a single, powerful QHIN™ connection
A new era of clinical information exchange is here. As a designated QHIN, Surescripts Health Information Network is ready to help you take full advantage with InterconnectTM.
From your organization to the point of care
A strong network with nationwide reach
Surescripts provides a single point of connection to clinicians nationwide.
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Two decades of partnership with PBMs
Since our founding, we’ve worked closely with PBMs to lower the cost of care.
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Support in engaging your plans
Tools to drive health plan engagement help you see faster results from our solutions.
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Find out more about how we help PBMs
How does Surescripts support prior authorization for PBMs?
Surescripts supports prior authorization by enabling electronic submission, response and status tracking of requests, helping PBMs automate manual processes, reduce delays and improve transparency between providers and plans.
How does Surescripts help prescribing decisions align with formulary and benefit plan designs?
PBMs can use Surescripts to deliver patient-specific coverage, formulary and cost information at the point of prescribing. Prescribers can make decisions that align with the patient's benefit plan, helping reduce claim reversals, formulary confusion and unexpected costs.
What advantages does the Surescripts network provide PBMs?
Partnering with Surescripts gives PBMs a single, direct connection to providers and electronic systems nationwide, simplifying data exchange workflows and enabling efficient, secure transmission of benefit, prescribing and pharmacy data across the healthcare ecosystem.
Keep pace with healthcare innovation
- Rand Corporation, “Chronic Conditions in America: Price and Prevalence,” Rand Review, July 12, 2017.
- I IQVIA Institute for Human Data Science,"The Use of Medicines in the U.S. 2022: Usage and Spending Trends and Outlook to 2026," April 2022, p. 2
- Anastassia Gliadkovskaya, "'I cry and no one cares': Medscape survey shows doctor burnout, depression is getting worse Fierce Healthcare, January 30.