Better Information at the Point of Care Saves Time and Money for Members, Prescribers, and Clients

In today’s fast-paced healthcare environment, prescribing medications can be challenging for both prescribers and patients. Determining drug coverage, understanding formulary preferences, evaluating costs, navigating complicated prior authorization criteria, and identifying lower-cost alternatives are just some of the considerations when making prescription decisions. Without the right tools, this process can be time-consuming and frustrating.

Digital Decision Support Tools

ClearScript facilitates prescriber digital solutions that streamline this experience, ensuring prescribers and members have the information they need at the point of care to make informed, effective decisions quickly and efficiently.

Real-Time Prescription Benefits

Prescribers who have adopted the Real-Time Prescription Benefits tool have instant, member-specific cost and coverage details at the point of care. By integrating seamlessly into ePrescribing workflows and electronic medical records (EMRs), this tool equips prescribers with essential information to discuss drug options with their patients before sending prescriptions to the pharmacy.

With Real-Time Prescription Benefits, prescribers can view:

• Drug costs specific to the member, including accumulators and deductibles
• Lower-cost therapeutic alternatives to help reduce expenses
• Preferred pharmacy options, including retail, specialty, and mail-order choices
• Drug coverage requirements, such as prior authorizations and quantity limits

Taking the guesswork out of prescribing leads to a better healthcare experience and lower costs.

Real-Time Prescription Benefits take the guesswork out of prescribing by providing real-time, member-specific prescription information. Members can leave their doctor’s office with confidence, knowing the cost of their medication, whether a lower-cost alternative is available, and if prior authorization is required. This transparency minimizes unexpected expenses and delays at the pharmacy, leading to a more seamless healthcare experience and improved adherence to treatment plans.

For prescribers, having immediate access to coverage and cost details streamlines decision-making, reducing the need for follow-up calls from pharmacies and minimizing administrative burdens. With the ability to see lower-cost alternatives and prior authorization requirements upfront, prescribers can help members obtain the most cost-effective and clinically appropriate medications without unnecessary disruptions.

Clients benefit from increased medication adherence, leading to better health outcomes and reduced healthcare costs. By ensuring prescribers have the right information at the right time, Real-Time Prescription Benefits enhance efficiency, reduce waste, and improve both member and provider satisfaction.

ePriorAuthorization (ePA)

ClearScript’s ePA program further streamlines the prescribing process by automating real-time prior authorization (PA) requests. This digital solution reduces administrative hassles, accelerates approvals, and enhances clinical quality and safety—all while improving the overall experience for members, prescribers, and clients.

How ePA Works

With ClearScript’s ePA, prescribers can initiate PA requests directly within the electronic medical record (EMR) platform. The system processes requests in real time, providing immediate clinical details to facilitate quicker decision-making. Proactive clinical evaluations allow prescribers and members to discuss treatment options during appointments, reducing disruptions at the pharmacy and improving the member experience.

Key Advantages of ePA

ClearScript’s ePA program enhances clinical quality by ensuring appropriate medication use and adherence. It also improves prescribing safety by reducing medication errors and delays. The streamlined workflow increases provider efficiency and acceptance while meeting state and federal ePA transaction requirements. Additionally, ongoing regulatory monitoring ensures compliance with evolving standards.

Contact Us

Contact us to learn how ClearScript’s advanced digital prescribing tools—Real-Time Prescription Benefits and ePA—enhance efficiency, reduce costs, improve the member experience, and enable prescribers to focus more on patient care.