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FREQUENTLY ASKED
QUESTIONS


GENERAL FAQ

Still have questions about Rx Savings Solutions? No problem, we’ve got answers.
Check out these FAQ or schedule a time for our team to give you more
information.

Request More Info
Is Rx Savings Solutions simply a drug look-up tool?

No, we give members the ability to search any medication to find the best prices
and any lower-cost but therapeutically equivalent options covered by your health
plan. However, what separates our solution from other tools is the ability to
proactively notify members via email and text message about savings
opportunities they already have.

Is Rx Savings Solutions a replacement for my PBM or health plan?
No, we are not a pharmacy benefit manager (PBM) or health plan. We are an
additional pharmacy service that layers on top of the existing pharmacy benefit
and works in conjunction with your existing PBM and health plan to help navigate
and optimize your pharmacy benefit. We work with all the major PBMs and many
health plans across the country. Learn More
How will you contact my members?
Our proactive member engagement strategy has proven successful for client after
client. We partner with our clients to ensure everything we do—from launch
communications to savings notifications—works for your organization and your
members. Learn More
How will our members know if they can save money?

Members have two easy ways to see if they can save money on their prescriptions.

 1. Rx Savings Solutions will contact members if there’s a way to lower their
    prescription drug costs. They receive these messages—email, phone, text or
    letter—if there’s a chance to save money on current prescriptions or ones
    they start taking in the future. Members can opt out of receiving these
    messages anytime.
 2. A member’s Rx Savings Solutions account will always show any savings
    opportunities they may have on current prescriptions. Anytime they start
    taking a new prescription that’s covered by their insurance plan, it will
    show up on their account with any options they might have to save. Plus,
    members can use their account to proactively search for pricing on any
    medication before their healthcare provider writes a prescription.

Can dependents use Rx Savings Solutions?
Yes! A member’s Rx Savings Solutions online account will automatically show
prescription drug information for any dependents on their health plan who are
under the age of 18. Adult dependents are required to activate their own Rx
Savings Solutions account and can then give access for others to view their
information.
How can members get help using Rx Savings Solutions?

Call 1-800-268-4476 or email support@rxsavingssolutions.com. Rx Savings
Solutions has a team of certified pharmacy technicians ready to help. No robots.
No phone mazes. Just real pharmacy experts.

What are the most common changes your solution recommends?

The majority of savings recommendations consist of therapeutic equivalent
alternatives and dosage optimization for chronic medications, as well as simple
price shopping. Rx Savings Solutions utilizes a patented algorithm that exhausts
all clinical and fulfillment alternatives in search of savings. About 85% of
savings generated are the result of clinical suggestions and others come from
fulfillment changes.

How can my members trust your recommendations?
Rx Savings Solutions was founded by a pharmacist and is staffed with in-house,
licensed pharmacists who provide ongoing oversight. Our clinical savings
technology is maintained and constantly curated by Pharmacy and Therapeutics
(P&T) Committee. We use the Gold Standard clinical database, which is updated
daily and includes all pertinent U.S.-approved drug product information. All
recommendations are based on the same peer-reviewed, evidence-based compendia
that hospitals, health plans, Medicare, Medicaid, and PBM’s use to establish
coverage criteria and evaluate approvals. Meet the P&T Team
What are your savings opportunities for specialty medications?
Specialty medications typically don’t have as many therapeutic alternatives
available as traditional products do. However, we advise and educate members on
specialty medications to whatever generics or biosimilar options are available,
and to utilize available manufacturer coupons and rebated products that are
available in the specialty class. In cases where a mature or saturated
therapeutic class exists, members are guided to the lowest-cost medications with
the same indications. Our team will also review current specialty plan design
and accompany programs such as copay utilization or site of care strategies to
fully maximize plan design.
How do you differ from medication therapy management (MTM)?
The biggest difference is purpose and function. MTM programs exist to optimize
therapeutic outcomes by actively managing drug therapy and by identifying,
preventing and resolving medication-related problems. We exist to provide
personalized and proactive pharmacy guidance within the existing benefit, with
the goal of saving the member money while still maintaining effective outcomes.
Essentially, the respective goals are therapy management vs. financial
optimization.




MEMBER FAQ

Founded by a former pharmacist, Rx Savings Solutions works with employers and
health plans to help their members find the lowest-cost options for prescription
drugs. If your employer or health insurance company works with us, we’re already
working for you.
Access your Account
How does this work with my health insurance and pharmacy options?

Rx Savings Solutions offers a service that helps lower your prescription drug
costs. This service doesn’t change anything about your current insurance plan,
pharmacy preferences or other benefits. Our software is linked to your health
insurance plan information so it can customize ways to lower your out-of-pocket
prescription drug costs.

How can Rx Savings Solutions save me money?

We find all the lower-cost medication options that treat your condition and are
covered by your insurance. You and your doctor can decide what’s best for your
health and budget. Here are just a few ways you might be able to save money:

 * Generic forms of name-brand drugs
 * Better prices at different pharmacies or through mail-order
 * Equally effective medications that treat the same condition but cost less
   than your current prescription

How will I know if I can save money?
There are two easy ways to see if you can save money on your prescriptions.  
 1. Your Rx Savings Solutions account will always show any savings opportunities
    you may have on your current prescriptions. Anytime you start taking a new
    prescription that’s covered by your insurance plan, it will automatically
    show up on your account with any options you might have to save. Plus, you
    can use your account to proactively search for pricing on any medication
    before your doctor gives you a prescription.
 2. We’ll contact you if there’s a way to lower your prescription drug costs.
    You’ll receive these messages—email, phone, text, letter—if there’s a chance
    to save money on current prescriptions or new ones you start taking in the
    future.

Can dependents on my health plan use Rx Savings Solutions?

Yes! Your Rx Savings Solutions online account will automatically show
prescription drug information for any minor-age dependents on your health plan.
Adult dependents are required to activate their own Rx Savings Solutions account
and can then give you access to view their information.

How is this different from a coupon or discount program for prescription drugs?

Since our software is linked to your health plan, everything we do is
personalized for you. We know the details of your prescription drug benefits and
use that information to find the lowest-cost options covered by your insurance
plan. Unlike prescriptions purchased with coupons or discount cards, the
money-saving options we provide will automatically count toward your individual
or family insurance deductible.

How do I use Rx Savings Solutions when I’m prescribed a new medicine?

Your account has a search feature to compare medication options and prices
before your doctor writes a new prescription. Anytime you start taking a new
prescription that’s covered by your insurance plan, it will automatically show
up on your online Rx Savings Solutions account (unless you used a coupon card
that takes you outside of insurance). You’ll be able to see any options you
might have to save money, and you’ll receive a message if you’re paying too
much. Better yet, you can access your account with a mobile device and search
for the lowest-cost option at the time your doctor writes the prescription.

What personal information does Rx Savings Solutions have?

By using Rx Savings Solutions, members consent to our collection/use/disclosure
of their personal information, but only for the purposes of providing our
service. This includes claims information, such as the prescriptions you filled,
how much you paid, and which pharmacy you utilized. We may automatically gather
and keep track of information about a member’s visit to the member portal and
their activity. Unlike many websites, we track this only for activity within our
own site, never other web browsing.

Can I trust Rx Savings Solutions to secure my personal information?

Rx Savings Solutions will not expose your personal health information to anyone,
including your employer. Our business depends on holding your personal health
information in the strictest confidence. Like your health insurance carrier,
your doctor(s) and your pharmacy, we are legally bound to the Security Rules
under the Health Insurance Portability and Accountability Act of 1996 (HIPAA
Security Rules). To learn more about how Rx Savings Solutions handles your
information, please see our Privacy Policy.

Do you sell my information?

We may use and disclose health information with service providers for data
analytics purposes, but it is always “deidentified,” i.e. not attached to your
identity and contains no protected health information.




NEED HELP?

Our support team is available at 1-800-268-4476 7 a.m.–8 p.m. CT, Monday through
Friday, or by email at support@rxss.com




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OUR MISSION

To make lives better by empowering consumers and simplifying the complex world
of prescription drugs.



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5440 W. 110th Street, Suite #200, Overland Park, KS 66211 • Pharmacy Support
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