Real Time Benefits provides coverage information and alternative drug options to the prescriber before a prescription is transmitted to the pharmacy. This information is based on the patient’s health plan, pharmacy, and selected drug. Real Time Benefits are automatically checked during the prescribing workflow.
- Enter prescription information on the Sig Builder, then click the Prescribe button or the Queue Rx button. If any data is returned by the Pharmacy Benefit Manager (PBM), the Real Time Benefits page opens.
NOTE: If the information on the patient's health plan is incomplete, it is likely no results will be returned.
- Review the selected medication and alternatives that may be less expensive. Real Time Benefits returns the following information:
- Pharmacy Type (Retail, Mail Order, Specialty or Long Term Care)
- Estimated Price (May be a specific amount or a range)
- Dispense Quantity (May include days supply)
- Pharmacy Name
- Coverage Level (Varies by PBM, will include Prior Authorization Required link if appropriate)
- General Messages (Plan Restrictions, Prescribing Suggestions)
- Select the Radio Button next to the medication you want to prescribe or queue.
NOTE: The radio button defaults to select your original prescription. Selecting a different option will update the drug, pharmacy and dispense information.
- Click the Continue button. If you selected Prescribe on the Sig Builder, you will proceed to the Transmit Rx page where you can send the medication to the patient pharmacy. If you selected Queue Rx on the Sig Builder, the medication will be added to the Pending Rx list.