Navigating the complexities of today’s healthcare environment requires innovative solutions. To address these needs in a rapidly changing market, SXC has leveraged more than 20 years of domain technology and claims processing expertise; extensive client insight; and a team of industry experts to build its informedRx® division. informedRx offers forward-thinking, full-scope pharmacy benefit management solutions to address today’s challenges while offering the flexibility to meet its clients’ future needs—unlike out-of-the-box traditional PBM programs. We are the leader in the new space of pharmacy spend management, which includes:
- Progressive and innovative programs
- Prompt and thorough customer service and permanent problem resolution
- Culture of continuous improvement, service, and quality
- Competitive pricing and comprehensive performance guarantees
- Positioning for the future
- Delivery of excellence throughout all programs
The informedRx suite of services supports pharmacy benefit management needs on a customized basis—providing the flexibility to select services based on immediate business objectives while accommodating future needs.
We offer complete financial, operational and decision-making control, bringing the supply chain much closer to the largest buyers in the market to drive competitive advantage.
We believe in forging strategic partnerships with our clients. These relationships best demonstrate our ability to not only deliver quality service but to work cooperatively on a consultative basis with our clients to implement pharmacy benefit programs crafted to meet their specific needs. This level of service and dedication separates us from the industry and allows us to redefine pharmacy benefit management.
When partnering with SXC, you will:
- Maximize savings with à la carte, fee-for-service pricing
- Ease administrative burden and increase operational efficiency through simplified processes
- Achieve a greater level of cost and clinical control over drug product selection
- Promote member involvement through convenient Web tools.
We have developed a winning solution for your pharmacy benefit program—a solution that is committed to service, quality, and value.
Our clients benefit from a financial model offering increased savings opportunities. In addition, we offer customizable control points using all of our informedRx services.
Our back-to-basics model will put financial control where it belongs—with you. This model offers the opportunity to eliminate misaligned incentives and excessive revenue streams tied to your drug spend that are typically present in traditional PBM vendor arrangements.
Designed with full disclosure in mind, system functionality enables clients to easily monitor, track and fully audit each transaction from initial submission through rebate fulfillment.
Proven Performance
Since the launch of informedRx in 2003, our clients have experienced significant cost savings and enhanced quality of care. With a proven savings model, our clients experience the value of control, as demonstrated in the following graphic.
Our continuous quality improvement approach incorporates a service excellence philosophy and a best-practices approach. This model targets all requirements, including service, cost, quality, technology, delivery, and safety.
You will have access to a single point of contact for an integrated healthcare solution. The service goal that we envision is the delivery of a fully integrated environment that will offer convenience, excellence, and streamlined administration. We will achieve this goal seamlessly through a dedicated account management team, high-touch member service, and informative, member-friendly Web-based tools. We will coach, guide, train and assist you, as much or as little as necessary, to ensure maximum program performance.
SXC will join forces with you to provide a united, top-down clinical strategy that will address your cost and quality goals. We will apply appropriate clinical management tools that comprehensively address the physician, pharmacist and member to make a positive impact on the quality of care for you and your members. Tools will include end-to-end mechanisms for monitoring effectiveness, accuracy, performance, and service throughout all functional areas.
You will have the flexibility to choose the level of program management and decision support to meet its requirements. You can be as creative as you choose in developing unique programs and benefit designs to manage your pharmacy program proactively with flexibility that is unmatched in today’s market. Database-driven rule sets offer:
- Unlimited number of benefit plans
- Ease in definition, control, and activation
- Flexible data/reporting hierarchy
- Flexible control over the entire spectrum of pharmacy benefit options
If desired, your staff can implement changes instantaneously to eligibility—online, in real-time—with no programming by SXC required. This capability differentiates us from other processing systems that require 5 to 30 days to implement changes. You will have access to client data anytime, anywhere—on desktops or through the Web—via easy-to-use, point-and-click tools.
You will maximize savings and service delivery through a collaborative partnership offering forward-thinking and flexible clinical management strategies and cutting-edge technologies to meet current and future program management objectives. This aligned model will engage all parties involved in the continuum of care, including you, the client, your members, and the physicians and pharmacists that serve your populations.
Our clients and their members have the right to expect a strong, comprehensive program that will surpass their pharmacy benefit needs and goals. The proposed collaborative partnership that leverages the combined experience and strengths of our clients and SXC will be instrumental in realizing those goals.
