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Surescripts
lower rate of appeals with Prior Authorization Automation1
of prior authorization requests abandoned by prescribers using automation, compared to 22% before automation2
responses delivered using Real-Time Prescription Benefit in 20253
Powering smarter utilization management to optimize medication decisions
Your clients rely on you to keep patients healthy and satisfied while managing rising drug spend and operational complexity. That’s harder than ever in today’s environment. Across the healthcare ecosystem, teams must act faster—sharing benefit intelligence and making authorization decisions seamlessly within clinical workflows and without sacrificing control or care quality.
Rising drug costs increasing time to therapy
Manual prior authorization creating delays
Limited visibility at the point of prescribing leading to rework & abandonment
PBM-controlled benefit intelligence embedded directly in prescriber workflows
Complete, real-time data at the point of prescribing to automate prior authorization
Nationwide connectivity between PBMs and providers through a single, trusted network
Greater control over drug spend & utilization management
Increased operational efficiency & faster therapy starts
Improved adherence & a better member experience
Discover how matching clinical data to determination criteria helps speed prior authorizations.
Share medication insights in real time
Timely, trusted intelligence is essential to managing medication access, affordability and adherence. Our solutions embed high‑quality medication, benefit and clinical insights directly into prescribing and authorization workflows—accelerating access to therapy and helping care teams deliver more effective and value‑based care.
Benefit & price intelligence
Surface prescription benefit intelligence at the point of care to help optimize treatment.
Intelligent prior authorization
Reach clinically appropriate prior authorization decisions as quickly as possible.
Interoperability
Share timely insights with providers and access clinical information to inform decisions.
Connect with our team to explore how we can partner to increase patient safety, reduce costs and ensure quality care.
From your organization to the point of care
Surescripts provides a single point of connection to clinicians nationwide.
Since our founding, we’ve worked closely with PBMs to lower the cost of care.
Tools to drive health plan engagement help you see faster results from our solutions.
Keep pace with healthcare innovation
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.
- Surescripts, “2025 Annual Impact Report,” March 2026, p.18.
- Surescripts, “2025 Annual Impact Report,” p. 18.
- Surescripts, “2025 Annual Impact Report,” p. 14.