Overview

Add prescription benefit insights across the care journey

When patients are surprised by prescription costs or coverage issues, the consequences can be serious—from delays and rework to hospitalization. Meanwhile, a prior authorization process that depends on faxes and forms takes valuable time away from providers and payers.

Surescripts makes it simpler to get patients started on the best medication. We share clinical and benefit intelligence directly from prescription benefit plans throughout the care journey, making it easy to choose the best option and expedite or avoid prior authorization.

$61.17

average Real-Time Prescription Benefit savings/prescription ($428 for specialty medications)1

3.2

percentage-point pickup rate gain with Real-Time Prescription Benefit2

Just under 4

minutes to receive a prior authorization response on average1

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The Surescripts Platform

Powering the future of healthcare

Health intelligence sharing at scale requires powerful infrastructure. The Surescripts Platform supports every Surescripts product and every Network Alliance participant with industry-leading reliability, security and scalability.

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Success Stories

Real-world results

“[With Real-Time Prescription Benefit I can] turn my computer screen to my patient and family members and say, 'I have this medication in mind, but let's look at it together and see what your costs will be.'”

Dr. Michelle Forbes Physician, MD Pediatric Associates

“We are finishing 10 electronic prior authorizations in the time it takes to finish one or two manually during a day.”

Candace Minter, Pharm.D. Pharmacy Operations Manager, Sentara Medical Group
Insights

Keep pace with healthcare innovation

Footnotes:
  1. Surescripts, “2022 National Progress Report,” March 2023.
  2. Surescripts, “2022 Medication Affordability & Adherence Impact Report,” September 2022.
  3. CAQH, “2020 CAQH Index: Closing the Gap: The Industry Continues to Improve, But Opportunities for Automation Remain,” 2021: p. 6.
  4. 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).
  5. Surescripts, “2021 National Progress Report,” January 2022.
  6. Denise Clayton et al., “Evaluation of the Fast Prior Authorization Technology Highway,” Journal of the American Pharmacists Association 62, no. 6 (December 2022): 1843–1847. 
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