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Surescripts
Benefit & Price Intelligence
Avoid cost concerns, coverage surprises & treatment delays
Leverage prescription benefit insights at the right time
When cost or coverage issues delay important care, it’s an unwelcome surprise for everyone involved. High costs harm adherence. Care teams and support staff face extra phone calls, faxes, research and rework. Meanwhile, cost pressures increase as our population ages and science produces promising but pricy medical advancements, including specialty medications.
Surescripts shares accurate, up-to-date prescription benefit and price intelligence when and where it’s needed, making it easy to choose the best option for each patient.
$37
average Real-Time Prescription Benefit savings/prescription ($785 for specialty medications)1
3.2
percentage-point pickup rate gain with Real-Time Prescription Benefit2
12%
reduction in erroneous selection of secondary Medicaid plans for Eligibility users3
Key products to gain benefit and price intelligence
Electronic Benefit Verification
Help patients start their prescribed therapy sooner with benefit intelligence designed for life sciences companies’ patient access programs.
Eligibility
Give clinicians easy access to prescription benefit coverage information at multiple points of the care journey so patients can get their medications sooner.
Formulary
Provide healthcare providers with plan- and group-level formulary insights within care workflows so they can have more informed conversations with patients.
Real-Time Prescription Benefit
Supply cost and coverage information directly from the prescription benefit plan, including prior authorization flags, days’ supply options and up to five covered alternatives.
Therapeutic Alternatives
Reduce medication costs, optimize plan design and deliver exceptional service with an up-to-date catalog of clinically validated medication alternatives.
The Surescripts Network
Powering the future of healthcare
Health intelligence sharing at scale requires powerful infrastructure. The Surescripts network safeguards the Network Alliance by delivering industry-leading reliability, security and scalability—all backed by our unshakable dedication to network integrity and compliance.
Real-world results
Keep pace with healthcare innovation
- Surescripts, "2023 National Progress Report," March 2024, p. 8.
- Surescripts, “2022 Medication Affordability & Adherence Impact Report,” September 2022.
- Surescripts, "2023 National Progress Report,” p. 6.
- Surescripts, "2023 National Progress Report,” p. 2.
- CAQH, "2023 CAQH Index Report,” 2024, p. 48.
- Jaime Y. Smith et al., “E-Prescribing with Decision Support Is Associated with Improvements in Medication Adherence,” The American Journal of Pharmacy Benefits 8, no. 4, (August 17, 2016).
- PrimeRx Pharmacy Management System, “Staywell Pharmacy Owner Says Real-Time Prescription Benefit Solution Reduces Tasks from ‘Minutes’ to ‘Seconds’,” June 23, 2023, p. 2.