Health Plans

Pharmacy Solution? Try a Pharmacy Partner.

Don’t just optimize your pharmacy benefit. Elevate it for everyone.

Founded by a pharmacist, our company was created to reduce our clients' pharmacy spend. And while savings is our middle name, health plan clients also find value that transcends hard cost savings.

Request a Demo

Computer monitor displaying Rx Savings Solutions portal with savings opportunities

One Solution. Lots of Advantages.

Savings & ROI

- Lower plan and member pharmacy spend
- Increased price transparency; increased member trust
- Group cost-containment

Our Pharmacists Add Clinical Clout

- Objective and clinically sound savings suggestions
- Leverage our clinical expertise and claims analysis
- Drive better decision support and medication adherence

Enhance Your Member Experience

- Proactive savings alerts
- Reduce out-of-pocket expenses
- A collaborative approach with your current PBM

Benefit Your Brand

- Drive more traffic to your member portal
- Increase exposure to plan programs and messaging
- Raise member satisfaction and ratings

SelectHealth - Teaming Up for Transparency

See what Eric Cannon, Chief Pharmacy Benefits Officer for SelectHealth, has to say about working with us and the importance of pharmacy price transparency for the plan and its 1 million members.

Success with SelectHealth

Ramping Up for Rapid ROI

See how this 600,000+ member Blue Cross Blue Shield plan achieved a 2:1 ROI and impressive plan engagement in their first year.

Read the Case Study

Ready to Launch?

Is your pharmacy department looking to work smarter and gain control over a key cost center? We're ready to go when you are.

  • Complement Your PBM

    - Data-sharing agreements with all major PBMs

    - Proven integration with plans of all sizes

    - Positive impact on rebates

  • Turnkey Implementation

    - Launch at open enrollment or off-cycle

    - Minimal technical lift

    - Customized member marketing campaigns

  • All We Need

    - Pharmacy claims files

    - Plan formulary details

    - Member contact info and eligibility files

Serving Medicare Advantage Plans

Looking to engage with your Medicare Advantage members? That's where we come in. Our solution combines price transparency and a high-touch member experience to help this population save money, maximize their pharmacy benefit and stay adherent.

Let's Be Transparent

The Centers for Medicare & Medicaid Services (CMS) has enacted a new rule—taking effect in 2023—that will require Medicare plans to offer a real-time benefit tool (RTBT), allowing beneficiaries to compare their out-of-pocket expenses for different prescription drugs. We’ve been delivering this type of drug price transparency for nearly a decade—it’s what we do. Put simply, we offer the services that CMS will soon be mandating.

Rx Savings Solutions knows the health plan world well, but more importantly they know prescription benefits and how to help our members make the best choices for their lives and their budgets. Their combination of clinical and claims expertise is the right blend.

Erin Stucky President and CEO | Blue Cross and Blue Shield of Kansas City
Blue Cross and Blue Shield of Kansas City logo

Measure, Monitor and Elevate Your Member Experience

AdminRx for Care Coordination lets pharmacy teams, case managers and care coordinators manage the full member experience all in one place, with only one tool. Get the data you need to improve MTM outreach, enrich member interactions and influence CMS Star Ratings.

All About AdminRx