About VerifyRX
VerifyRX is a specialized real-time prescriber verification and compliance platform built to streamline operations within pharmacy environments and pharmacy benefit managers (PBMs).
VerifyRX is a prescriber verification solution from LexisNexis Risk Solutions, designed for pharmacies and Pharmacy Benefit Managers (PBMs). It integrates into pharmacy workflows to provide real-time compliance checks on prescription transactions before they are submitted to payers. The tool verifies prescriber data against sources like the Drug Enforcement Administration (DEA) and National Technical Information Service (NTIS) to help reduce regulatory risk and identify potential claims submission errors. This helps retail and specialty pharmacies optimize reimbursement and increase the percentage of paid prescription claims. The product page does not provide public pricing information, requiring interested parties to contact sales for more details. Support options are not detailed on the product page.
Pros & Cons
- Helps pharmacies and PBMs reduce regulatory risk with real-time compliance checks.
- Aims to optimize reimbursement by identifying claim submission errors prior to dispensation.
- Integrates directly into existing pharmacy workflows for seamless operation.
- Simplifies compliance oversight using highly detailed historical reporting configurations
- Empowers users to build personalized checks instantly via the Accelerate toolkit feature
- Pricing and plan details are not publicly available and require contacting the sales team.
- Restricts software value exclusively to medical domains like pharmacy and PBM environments
- Presents high complexity for onboarding because of heavy configuration needs at implementation
- Lacks open public application programming interfaces or extensions outside of healthcare workflows
- Fails to provide upfront global currency handling due to its strict focus on United States compliance
Features
Key features
Checks prescriber credentials and compliance status in real-time within the pharmacy workflow.
Utilizes data from the Drug Enforcement Administration (DEA), State sources, and daily National Technical Information Service (NTIS) updates.
Performs compliance checks on prescription transactions before they are sent to payers to reduce risk.
Identifies potential claims submission errors before the medication is dispensed to the patient.
Designed to integrate seamlessly into existing pharmacy and PBM workflows.
Additional features
Converts highly disparate datasets into unified and accurate provider intelligence profiles.
Matches data against OIG LEIE, SAM, FDA, and state Medicaid sanction logs.
Validates high volumes of claims with minimal delay within live workflows.
Screens prescriber data prior to transmission to financial payers.
Records every configuration update and automated transaction securely.
Synchronizes information continuously across 400 plus official state licensing streams.
Pricing
Countries & Languages
Available in
Interface languages
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About VerifyRX
VerifyRX is a specialized real-time prescriber verification and compliance platform built to streamline operations within pharmacy environments and pharmacy benefit managers (PBMs).
VerifyRX Details
VerifyRX's In-App Market Place
Does VerifyRX have an in-app market place?
Yes
How many Mini-Apps in the marketplace?
0
Mini Apps
Pricing Options
Accepted Payment Currencies
USD
Pros & Cons
- Helps pharmacies and PBMs reduce regulatory risk with real-time compliance checks.
- Aims to optimize reimbursement by identifying claim submission errors prior to dispensation.
- Integrates directly into existing pharmacy workflows for seamless operation.
- Simplifies compliance oversight using highly detailed historical reporting configurations
- Empowers users to build personalized checks instantly via the Accelerate toolkit feature
- Pricing and plan details are not publicly available and require contacting the sales team.
- Restricts software value exclusively to medical domains like pharmacy and PBM environments
- Presents high complexity for onboarding because of heavy configuration needs at implementation
- Lacks open public application programming interfaces or extensions outside of healthcare workflows
- Fails to provide upfront global currency handling due to its strict focus on United States compliance
VerifyRX's Support Options
Contact
+1 678 694 6000VerifyRX's Alternatives
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