Real-Time Prescription Benefits from Our Partner, MedImpact

Information available at the point of care saves time and money for you, VNS Health, and our members.*

Real-Time Prescription Benefits provides member-specific cost and coverage details at the point of care to help improve outcomes and prescriber efficiency. This tool allows you to discuss personalized benefit information with members, including lower-cost therapeutic alternatives and preferred pharmacies, to make better care decisions right at the doctor’s office. 

By embedding Real-Time Prescription Benefits in ePrescribing workflows and electronic medical records (EMRs), this service puts personalized coverage and benefit information at your fingertips before members’ prescriptions are sent to the pharmacy. 

You can see member-specific costs, including accumulators, deductibles and alternative retail, specialty, and mail order options. You can also view drug coverage and benefit information, such as prior authorization requirements or quantity limits, significantly reducing wait times and issues at the pharmacy.

Here’s how it helps:

MEMBERS:

• No surprises: Members see prescription costs at the point of care
• Fewer delays: Less waiting at the pharmacy for prior authorizations or approvals on lower-cost alternatives
• Better outcomes: Informed members are more likely to fill prescriptions and stay healthy

PRESCRIBERS:

• Better information: Member-specific information allows prescribers to make more informed decisions at point of care
• Increased efficiency: Prescribers spend less time on follow-up calls from pharmacies
• Greater satisfaction: Members leave their doctor’s offices with the lowest-cost medications and face fewer issues at the pharmacy

MedImpact has connectivity with Surescripts, CenterX, and CoverMyMeds e-PA software platforms. These will be linked with the real-time benefit check functionality if you are able to initiate PAs from EMR system.
 
Real-Time Prescription Benefits are embedded in the ePrescribing workflow in the EMR. Please contact your EMR support if you are not able to access this service.

*This program affects members in our VNS Health EasyCare, VNS Health EasyCare Plus, and VNS Health Total plans.