Rx CardFinder™ Services

This pharmacy eligibility service checks patient coverage with the nation’s largest pharmacy benefit managers (PBMs) and returns real-time responses.

Get in touch with our sales team today

Fill out this form and we’ll get back to you shortly.

Need help or account access? View our support resources or sign in.

What’s included in Rx CardFinder™ Services

Check member eligibility

Check member eligibility with leading PBMs

Benefits include:

  • Returns a real-time response to the pharmacy
  • Provides information including BIN, PCN, group number, cardholder ID, person code and processor helpdesk number
  • Options to send inquiries only to our Commercial Eligibility Partner or combined with our Medicare Part D Eligibility Partner

Coverage options

Determine additional coverage options

Benefits include:

  • Returns all eligibility information when multiple coverages are found
  • Informs pharmacy if no coverage is identified
  • Streamlines eligibility inquiries with a single transaction

Key benefits

Perform automatic, real-time eligibility inquiries for new prescriptions.

Automation streamlines workflows

Check member eligibility in real time using existing pharmacy management system workflows and improve your workflow with automatic inquiries for new prescriptions.

Technology identifies coverage information

Obtain coverage information for more than 270 million individuals and Medicare Part D enrollees with Rx CardFinder Services.

Customer service helps save staff time

Automation frees your staff to focus on enhancing other areas of the business. It also speeds workflows, helping enhance the patient experience.

Industry insights

5 Questions About AI Use in Pharmacy Benefits

Article

5 questions executives are asking about AI in pharmacy benefits

Discover the unique challenges and responsibilities of introducing AI into pharmacy benefit solutions.

How Optum Care Transitions Improves Post-Acute Care

Case study

How Optum Care Transitions helps improve post-acute performance for health plans

See how a leading health plan reduced costs, improved outcomes and strengthened provider relationships with a modern post-acute care model.

Innovating Care for Vulnerable Populations [White Paper]

White paper

Innovating care for vulnerable populations

See how in-home technology helps payers give better care, solve social problems and improve health for people who need it most.

Let’s start a conversation

Get in touch with our sales team today

Fill out this form and we’ll get back to you shortly.

Need help or account access? View our support resources or sign in.

Complementary solutions

Software

Rx Assist

Best for:
  • Manufacturers
  • Payers

Our dynamic copay assistance and messaging platform helps deliver real-time prescription savings and educational messaging to patients.

Software

Rx Edit

Best for:
  • Manufacturers
  • Payers

A comprehensive pharmacy claim solution designed to increase third-party reimbursements and improve in-store productivity.

Software

Rx Connect™

Best for:
  • Manufacturers

Our claims switch adjudication network allows pharmacies to send claims in real time to any U.S. third-party processor.