From claims adjudication to real-time analytics, every SRxS service is designed to be fully configurable, scalable, and delivered at a cost that works for organizations of every size.
Our adjudication engine is built to handle virtually any business rule — at any scale. Fully configurable, fully transparent, and built for speed.
A modern, cloud-native adjudication engine that processes pharmacy claims in real time with pinpoint accuracy.
Specialized adjudication logic purpose-built for the unique billing and regulatory requirements of Workers' Comp pharmacy programs.
Adjudication configured for the sensitivity and clinical complexity of hospice and end-of-life pharmacy care.
Flexible, client-configured pharmacy payment workflows that reduce administrative burden and eliminate payment errors.
Our adjudication platform applies virtually any business rule — clinical edits, coverage restrictions, step therapy, quantity limits, prior authorization, and more — without requiring custom development. Configuration is handled through our intuitive rules management interface.
SRxS connects clients to a broad pharmacy network while delivering the payment infrastructure to manage it all efficiently.
Instant access to a comprehensive national pharmacy network — without the overhead of building or owning one.
Strategic pharmacy network architecture tailored to your member population, cost targets, and clinical goals.
Maximum Allowable Cost (MAC) pricing administration to control generic drug spend and ensure competitive reimbursement.
Client-specific invoicing designed around your billing structure, payment terms, and reporting requirements.
SRxS manages the full rebate lifecycle — from contracting and tracking to reconciliation and client distribution — with full transparency at every step.
Comprehensive rebate management that captures every eligible dollar owed and ensures accurate, timely distribution.
Expert guidance on structuring manufacturer rebate agreements to maximize return across your formulary.
Every rebate dollar is tracked, reported, and reconciled with complete visibility. Our clients see exactly what was earned, what was received, and what was passed through — with no black boxes and no buried fees.
Build benefit structures and drug lists that align with your clinical philosophy, cost targets, and member population — all managed through one platform.
Dynamic formulary tools that keep your drug list current, clinically appropriate, and optimized for cost and quality.
Fully configurable plan architecture supporting any benefit structure, member segment, or program type.
SRxS powers pharmacy discount and copay assistance programs that deliver immediate savings to members — with the infrastructure to scale them nationally.
End-to-end discount card program administration — from card issuance and branding to real-time adjudication and reporting.
Pharmacy manufacturer copay card and patient assistance program administration — reducing financial barriers for members.
SRxS discount cards provide access to negotiated prescription pricing at thousands of pharmacies nationwide — at no cost to the member. Savings are applied instantly at the point of sale.
Our data infrastructure gives clients live visibility into claims, utilization, costs, and performance — with the tools to act on what they see.
Comprehensive reporting dashboards that surface the right data at the right time — from executive summaries to claim-level detail.
A comprehensive REST API library providing live, secure access to claims, eligibility, member, and benefit data.
Eliminate manual data handling with automated ingestion, mapping, and transformation from any source format.
Certified integration with Surescripts' Formulary & Benefit (F&B) and Real-Time Prescription Benefit (RTPB) services — delivering accurate, real-time drug cost and coverage information directly to prescribers at the point of care.
Every SRxS service is fully configurable to your organization's needs. Let's talk about building the right solution for you.