Discover how Benmedica’s BenCore™ eRx+ and Precision F&B™ turn compliance into strategic value through smarter, clearer, and cost-effective prescribing.
The industry has made strides with ePrescribing but static formulary data, inconsistent alternatives, and disconnected RTPB transactions still limit outcomes for patients, plans, and providers. The opportunity? Make the data smarter, clearer, and more actionable.
That’s the power of Benmedica’s BenCore™ Medication Benefit Insights platform, starting with its BenCore eRx+™ Integration Suite, built to enhance the data powering prescribing decisions without requiring full system overhaul.
The Current Challenge: Visibility Without Clarity
- Only 32% of providers say they consistently see formulary and cost information in their prescribing workflow (Source: Surescripts 2023 Impact Report).
- 65%+ of prescribers would switch medications if offered a cost-effective, therapeutically similar option — yet those insights are rarely surfaced in real-time (Source: American Journal of Managed Care, 2021).
- Even as RTPB expands, it’s still often isolated post-prescription, offering price without guidance, and mock adjudication without optimization (Source: Health Affairs, 2022 – Real-Time Prescription Benefit Data Trends).
BenCore eRx+™: Elevating Prescribing Workflows
BenCore eRx+™ module adds intelligence, clarity, and clinical value where it matters most:
Precision F&B™
- Enhanced F&B files with tier descriptions, copay and deductible visibility, and therapeutically aligned drug alternatives at the first medication selection screen.
- Aligned for future NCPDP F&B v60 enhancements from pharmacy network visibility to indication-based alternatives.
Intelligent RTPB™
- Works with your PBM’s existing RTPB feed but enriches the transaction response with more accurate alternatives, plan-aligned messaging, and clearer cost insights.
- Enables smarter prescribing post-script, not just pricing data.
Bonus Value: NCPDP F&B v60 as a Strategic Lever
Too often, v60 is viewed as a standards update. But in reality, it’s an opportunity to improve plan adherence, lower costs, and eliminate unnecessary barriers.
Benmedica helps organizations not only comply but thrive with v60 through:
- Standardized v60 Deployment Program
- Indication-based alternatives & formularies
- Pharmacy network-aware F&B insights
- Streamlined file structure and clinical readiness
- SmartAlts® engine integration
"Let’s turn your compliance milestone into a strategic advantage."
The Impact
- $22.32 PMPY savings in commercial populations
- Up to 10x ROI through formulary-aligned alternatives
- 90%+ of claims impacted by just 1,200 clinically prioritized drug subsets
(Source: Point-of-Care Partners Whitepaper: From Ignored to Impactful, 2024)
Why It Matters for You
Whether you’re a health plan optimizing cost and adherence, a PBM enhancing your infrastructure, or a plan sponsor seeking ERISA-compliant transparency, BenCore’s eRx+ and v60 readiness unlock immediate value.
Learn more: Contact Benmedica
References
- Surescripts 2023 Impact Report
- American Journal of Managed Care, 2021. Survey on Cost-Saving Prescribing Decisions
- Health Affairs, 2022. Real-Time Prescription Benefit Data Trends
- Point-of-Care Partners Whitepaper: From Ignored to Impactful – Maximizing Payer Value through Formulary Validation, Intelligent Alternatives and Real-Time Benefit Check at Point of Care, 2024
