Government Entities

DRX DrugCompare enables members to find lower-cost alternatives for the drugs they use. This technology provides the most comprehensive set of therapeutic alternatives available, offering dose-specific price comparisons for prescription and some over-the-counter drugs. Pharmacy benefit managers, payors, electronic medical record and ePrescribing vendors, pharmacies, benefit consultants, and data vendors utilize DrugCompare to reduce both their costs and the costs to their members.

• Deliver the industry’s most widely accepted and acclaimed therapeutic alternative dataset, helping more than 100 million covered lives save $1.2 billion a year.
• Create cutting edge tools that combine therapeutic alternative data with estimated and real-time multi-pharmacy and mail order pricing to help members easily find the drugs they need at the prices they want.
• Accessible via fully hosted, user configurable websites for rapid deployment or API to integrate with existing websites.
• Leverage rich capabilities like pharmacy locator by zip code and geocode for new and compelling features.
• Identify lower-cost alternatives at the retail price or customized to a specific formulary and plan design
• Deliver comparisons of drugs, alternatives, pharmacies, pricing, and locations.
• Provide detailed information on drug interactions, side effects, safety alerts, pill images and efficacy.
• Enable users to take immediate action with direct pharmacy purchase support and direct prescription change requests.
• Custom analytics that help clients estimate market opportunities and meet their precise needs

DRX clients use DrugCompare to:

• Reduce healthcare costs – By proposing lower-cost alternatives, DrugCompare can significantly reduce the cost of purchasing drugs for both members and plans.
• Increase generic fill rates – DrugCompare allows users to identify therapeutically comparable, lower-cost generics. In many cases, this results in a switch from brand to generic, thereby increasing the generic fill rate – a key metric for many of our clients.
• Improving medication adherence – Higher drug costs can reduce adherence to prescription drug regimens, leading to increased medical costs if the members’ untreated health conditions worsen. By allowing members to identify lower-cost alternatives, DrugCompare supports improved medication adherence.
• Increasing member engagement – DrugCompare engages members in their healthcare decisions by equipping them with the relevant, easy-to-understand information they need to identify lower-cost drug options and make choices that positively affect their health

For more information or to schedule a demo, click here.

DRX Preferred Pharmacy Finder enables prospective and current beneficiaries to discover and better understand plans with preferred pharmacy networks. The tool allows users to enter their personal list of medications and review all of their network pharmacies within their geographic area to determine the most cost-effective options. Pharmacy promotions and events can be included to alert customers of upcoming events. Additionally, DRX’s best-in-class therapeutic alternative database presents ways to save on medications with lower-cost options.

For more information or to schedule a demo, click here.

DRX PlanCompare technology is the most widely used Medicare decision support tool available. Over 11 million Medicare beneficiaries have trusted PlanCompare to ensure they are making the right decisions when comparing and enrolling in Medicare insurance plans based on their own individual needs. Through fully hosted website or API-based solutions, health plans, call centers, brokers and private insurance exchanges use PlanCompare to ensure their sales processes are streamlined with accurate and compliant Medicare data.

• Accessible via fully hosted, user configurable websites for rapid deployment or API to integrate with existing websites or call center tools.
• Utilize DRX as a single source for accurate plan data and estimated out-of-pocket cost calculations (MA, MAPD, PDP, MedSup). Data and cost calculations can be delivered to multiple departments and external partners to ensure coherence and accuracy.
• Increase conversions with the industry’s most widely accepted and acclaimed out of pocket medical cost and drug cost estimates. Includes support for multiple pharmacies, tiered pharmacy networks, and real-time pricing.
• Leverage deep Medicare industry expertise. DRX powers the Medicare.gov PlanFinder and Online Enrollment Center as well as a high percentage of Medicare plan sponsor websites.
• Simplify user acceptance testing and unify internal and external partner data management. Test data and out-of-pocket cost calculations once in a single environment to ensure accurate data can be accessed by multiple partners.
• Eliminate barriers between organizational silos through API integration.
• Streamline enrollment operations with electronic enrollment options designed to handle internal and external call centers, agents, brokers, direct to consumer, and more.
• Enjoy unified enrollment data processing and reporting across multiple partners and channels.

For more information or to schedule a demo, click here.

Enrolling in Medicare plans via paper enrollment forms is an outdated, time intensive, error-prone method.  The Mobile Field Enrollment Application for iPad is a mobile tool that enables in-field Medicare agents to take Medicare enrollment applications in an online or offline mode on the iPad.  This solution eliminates the costly hand processing of paper applications, streamlines the sales process for agents, and streamlines the enrollment process for plan sponsors.  Overall, this translates into significant cost savings and a better experience for consumers.

Increase sales by agents/brokers

• Accept enrollments without an Internet connection, allowing agents to meet and enroll beneficiaries anywhere.
• Eliminate the costs and hassles of ordering sales and enrollment materials.  Sales presentations, scope of appointment and enrollment forms are available electronically on the iPad.
• Save time by prefilling client information from iPad contacts address book with just two taps.

Decrease cost of enrollment operations

• Process apps faster by eliminating the hassles and delays of handling paper enrollments. Enrollments can be provided as part of existing DRX export.
• Reduce exception handling of enrollments while gaining more accurate enrollment information, through instant field validation.
• Eliminate the need for follow-ups that applications were received, via electronic status and confirmation numbers.

Decrease compliance risk

• Limit agents to only the plans/states they are licensed and appointed to sell.
• Ensure up-to-date materials–marketing, plan data and enrollment forms–are used by agents, via daily update deployments.
• Meet unique needs for electronic signature, including option of physical signature with finger or stylus.
• Mitigate privacy risk. Beneficiary data is encrypted and app includes additional safeguards.

Decrease IT and administrative costs

• Seamlessly integrate enrollment data into existing enrollment data processes.
• Benefit from a single toolset to manage all electronic enrollment forms, websites and apps provided by DRX.
• Have a branded iPad app that appears to be custom-made, including color schemes, imagery and text.
• Minimize the use of IT resources. DRX provides timely implementation, trainer guidance and materials, and ongoing update support. Apple deployment is simple and scalable.

For more information or to schedule a demo, click here.

* iPad is a trademark of Apple Inc., registered in the U.S. and other countries.

Improve application conversion and completion rates while reducing costs and errors with the streamlined approach of DRX Application Manager.

• Integrated with PlanCompare products or stand alone. Application Manager can be utilized to meet the many needs of a diverse industry.
• Managing enrollments for multiple entities can be streamlined into a single platform ensuring efficiency and simplified management. Supports direct, call center, and 3^rd party sales distribution.
• Application management and reporting for enhanced tracking and sourcing.
• Integration with the look and feel of your website for branding and personalization opportunity – easy self-service form configuration and updates.
• Real time eligibility validations during application process increases productivity.
• Leverage DRX experience in CMS compliance matters for standard and short enrollment forms.

Decrease cost of enrollment operations

• Process apps faster by eliminating the hassles and delays of handling paper enrollments.  Enrollments can be provided as part of existing DRX export.
• Reduce exception handling of enrollments while gaining more accurate enrollment information through instant field validation.
• Eliminate the need for follow-ups that applications were received, via electronic status and confirmation numbers.

Decrease compliance risk

• Limit agents to only the plans/states they are licensed and appointed to sell.
• Ensure up-to-date materials–marketing, plan data and enrollment forms–are used by agents, via daily update deployments.
• Mitigate privacy risk. Beneficiary data are encrypted.

Decrease IT and administrative cost

• Seamlessly integrate enrollment data into existing enrollment data processes.
• Benefit from a single toolset to manage all electronic enrollment forms, websites and apps provided by DRX.
• Have a branded site that appears to be custom-made, including color schemes, imagery and text.
• Minimize the use of IT resources. DRX provides timely implementation, trainer guidance and materials, and ongoing update support.

For more information or to schedule a demo, click here.

Our subject matter experts are valued for their knowledge in database design and data management. DRX uses ISO 20000 to deliver our IT Infrastructure Library, which is specifically tailored to support database operations. We provide the bridge between software developed to ISO 9241-210 (e.g., Agile) and routine operations

Align information technology services and business strategy

• Formal framework supports service improvement projects
• Provides a benchmark with best practices

Create competitive advantage

• Promotes consistent and cost-effective services
• Enables service provider and staff flexibility
• Reduces risk
• Enhanced reputation and perception

Support organizational change

• Promotes the fundamental shift to pro-active processes
• Improves relationship between different departments
• Automates resource training and service management

For more information or to schedule a demo, click here.