Streamlining operations

Delivering tools for agility and efficiency that keep hospital outpatient pharmacies prepared for whatever comes their way.

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Pharmacist handing over prescription to a patient at a hospital outpatient pharmacy counter

The challenge

From staff shortages to complex regulatory compliance, the list of challenges for outpatient pharmacies is long and ever-changing. Pharmacy teams face growing pressure to process prescriptions quickly and accurately while navigating regulations — all with the knowledge that errors in dispensing, inaccurate claims and delayed reimbursements could lead to financial risk and compromise patient safety.

Manage the demands of an outpatient pharmacy with automated precision

An integrated suite of real-time, outcomes-based tools that help streamline access, strengthen financial performance and enhance clinical impact across health system outpatient operations.

Real-time adjudication visibility
See adjudication data across the outpatient journey to manage complex therapies with precision.
Automated access workflows
Automate access, claims, and affordability workflows to reduce manual workload and accelerate therapy starts.
Revenue support
Identify lost dollars from outdated pricing and convert eligible denied claims into paid claims to help reduce revenue leakage.
Audit risk reduction
Monitor for common audit triggers before submission and validate prescriber credentials to reduce compliance exposure.
Patient safety alerts
Identify dispensing errors in real time and deliver clinical safety notifications at the point of dispense.
Coordinated care support
Support coordinated care across inpatient and outpatient settings, enabling pharmacies to connect care.

Care team member sitting at the computer in a provider's office processing prior authorizations

Solution Spotlight: PriorAuthPlus™

Once a therapy is prescribed, PriorAuthPlus initiates the prior auth request at the pharmacy. The request arrives at the provider’s office with auto-populated patient, medication and prescriber information from the original claim.

Patient uses credit card to pay for medication at the pharmacy counter

Solution spotlight: eVoucherRx™

eVoucherRx from CoverMyMeds automatically applies electronic coupons for selected brand-name medications when the prescription is processed by the pharmacy system. In 2024 alone, it saved patients over $4.3 billion, helping to reduce patients’ out-of-pocket costs and avoid prescription abandonment without taking staff out of their normal workflow.^[0]

Delivering impact for outpatient pharmacies

Powered by a leading network

The impact of our network speaks for itself. Together, our work helps improve time to therapy,^[0] breaks through medication affordability obstacles and promotes greater connectivity among care teams to achieve better health outcomes.