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CLEAR CHOICE

Your

in Pharmacy Benefits Management

The ChoiceRx Solutions Advantage

ChoiceRx Solutions is dedicated to restoring quality, affordable pharmacy care to underserved communities—rural and urban alike. Our deep-seated connection with our pharmacists and the communities we serve aids us in putting our values of dignity, integrity, service and compassion into our work. By helping individuals stay healthy and reduce risks to their overall health, we protect and promote healthy communities as a whole.

 

At ChoiceRx Solutions, we use the expertise of your local pharmacist and information technology to improve the practice of Pharmacy Benefit Management. Using a real-time claims processing system that is flexible and scalable, ChoiceRx Solutions provides 100% transparent customized solutions to payers big and small.

 

It’s your members, your plan design and your choice — ChoiceRx Solutions provides the highest level of customer service, and furnish transparent healthcare solutions that resolve their healthcare needs.

Your Formulary

Your Claims Processing

Your PBM

Flexible Real-Time Technology

ChoiceRx Solutions will customize a formulary to fit your needs — the options are endless and the choice is yours. Our formulary approach includes a "lowest net cost" therapy philosophy paired with a transparent pass-through benefit design.

Our claims processing system is integrated with retail, mail order, specialty drug and manually keyed paper claims; every prescription claim goes through the same real-time adjudication system. This is a huge advantage to our clients, who can customize every aspect of their benefit design, including copays, deductibles, drug utilization review, eligibility, and pricing edits.

Service Here is Simple

ChoiceRx Solutions have a system that works for you and your members. They get the prescriptions choices they want at a price you need—all with the reliability and accuracy you all deserve. It’s that simple.

  • 24/7 Flexible Claims Processing Systems

  • Powerful Web-Based Formulary Management Systems

  • Value-Based Low Net Cost Formulary

  • Fast Prior Authorization & Step Edit Functionality

  • Mail Order & Specialty Services

  • Class Leading Analytical Reports & Data Warehouse

  • Innovative Employee Member Portal

  • Effective & Efficient Rebate Management System

Get in Touch

pharmacist in front of medication shelves
man at computer with daughter hugging neck
grandparents andgrandkids taking selfie outside

Member Solutions

Every member can find the latest information on their prescription benefit plan with Choice Rx Solutions Member Portal. We customize the website to your specifications; clientbranded, Choice Rx Solutions branded, or cobranded — whichever fits your needs and budget. With the Member Portal, members will have their own secure login and a vast array of helpful and informative options that will allow them to:

  • View patient drug education information

  • Request refills of mail order prescriptions through ProCare PharmacyCare

  • Review prescription claims history

  • Locate participating pharmacies

  • Review their eligibility status

  • Look up a drug to identify formulary status

  • Price prescriptions before taking them to a local pharmacy for fulfillment

  • Find generic alternatives to brand drugs

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