Empower patients in real time with the right prescription at the right price
Rx Assist allows for digital transformation, helping maximize prescription volume, adherence, loyalty and return.
Pharmaceutical manufacturers
- Address affordability with an automated prescription assistance program.
- Increase new starts of initial scripts.
- Increase prescription volume.
- Easily encourage medication adherence.
Retail pharmacies
- Help reduce the financial burden of prescription copays.
- Engage pharmacies with patient-specific content to enhance interactions.
- Convert rejected claims into paid claims.
- Advance pharmacy star ratings and grow pharmacy revenue.
Build patient engagement and increase adherence
Voucher On Demand
Voucher On Demand: real-time patient copay offsets
Voucher On Demand lets you integrate copay savings programs into existing pharmacy workflows. Benefits include:
- A dramatic decrease in drug abandonment rates for both new and refill prescriptions
- An increase in overall adherence to therapies, leading to improved patient outcomes
Targeted messaging
Inform targeted messaging for pharmacists
Deliver custom messages within workflows to:
- Enhance the patient experience
- Improve success metrics and efficiency with analytically driven targeting
- Increase patient loyalty through better experiences
Claim conversion
AutoRedeem: automated rejected pharmacy claims conversion
With AutoRedeem, you can:
- Override rejected claims in the adjudication process
- Return paid claims to the pharmacy
- Allow patients to leave with their medication
Affordable medication
Facilitate new patient starts by making medications more affordable
Drive medication adherence by creating consistent copays and eliminate the need for secondary claims.
Rx Assist FAQ
Rx Assist does not require any new pharmacy software. It integrates directly into existing pharmacy claim adjudication workflows. Pharmacies can leverage current systems and Optum claims switch connectivity.
This helps minimize implementation effort and avoids the need for:
- Standalone applications
- Additional hardware
- Extra point-of-sale steps
Many pharmacies combine Rx Assist with Rx CardFinder™ to confirm coverage in real time. Then, surface relevant prescription savings at the pharmacy counter.
Our network emphasizes security and accredited connectivity (e.g., EHNAC, HNAP) plus modern controls across infrastructure to safeguard transactions and PHI.
Rx Assist is designed to support pharmacies of all sizes. Because savings offers are delivered through existing adjudication workflows and claims switch connectivity, both chains and independent pharmacies can participate.
Optum also offers programs and support tailored to the unique needs of independent pharmacies.
Through the Optum Rx Connect™ claims switch network, pharmacies can route claims in real time to many U.S. third party processors or payers. This enables pharmacies to maintain existing claim routing processes while more easily incorporating Rx Assist savings opportunities into their workflow.
Rx Assist complements prior authorization enhancements by addressing a different, but equally important, barrier to medication access — patient affordability at the point of dispensing. While Optum Rx PreCheck Prior Authorization helps streamline and accelerate prior authorization approvals to reduce therapy delays, Rx Assist helps eligible patients overcome cost barriers that can lead to prescription abandonment.
Additionally, the Rx Assist AutoRedeem function automatically applies eligible savings opportunities at the pharmacy. This reduces manual steps for pharmacy staff and patients, creating a more seamless patient experience. Patients can also obtain their medications faster by helping minimize delays during prescription pickup and fulfillment.
Many Optum pharmacy applications use One Healthcare ID (OHID) for sign-in and MFA, simplifying secure access for pharmacy teams.
Rx Assist is offered within Pharmacy Network Solutions alongside:
You can streamline adjudication and prescription savings in one stack.
Rx Connect offers a large national pharmacy footprint and real-time processing. This positions Rx Assist programs for broad access across the U.S. retail pharmacy network.
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Complementary solutions
Software
Rx CardFinder Services
A pharmacy eligibility service that checks patient coverage with the nation’s largest pharmacy benefit managers and returns real-time responses.
Software
Rx Connect
Our claims switch adjudication network allows pharmacies to send claims in real time to any U.S. third-party processor.
Software
Rx Edit
A comprehensive pharmacy claim solution designed to increase third-party reimbursements and improve in-store productivity.