HCH Rx: Employers
Healthcare Highways Rx For Brokers and Employers
Who We Are
Healthcare Highways Rx has formed a strategic partnerships in order to deliver a Premier PBM platform. We are essentially connected to a broad network of pharmacies to provide you and your members affordable prescriptions.
Pharmacy Benefit Management
- The Healthcare Highways Rx enterprise has been able to form a long term alliance and can provide superior pricing and pharmacy solutions to the marketplace. Our proprietary resources include:
- The Member Services Call Center – Available to your members 24/7/365
- Our web portal – www.HealthcareHighwaysrx.com. Through this portal, members can access information directly from the OptumRx online system and view member specific information. This includes viewing medication history, locating pharmacies, and performing copay comparisons for cost-effective alternatives. We also offer mobile applications, so that members can access plan information anytime from their mobile devices.
- Reporting Capabilities:
- RxTRACK – We have access to comprehensive management reports through, RxTRACK . Our reports are tailored to meet your needs and requirements. Our catalog includes more than 80 individually unique reports with more than 400 fields, including data from outside sources such as physician, pharmacy, drug and calculated values.
- RxCLAIM – Through our online access to the RxCLAIM system, our client information center, your Healthcare Highways representative can provide you with up-to-date claim information, data, and issue resolution.
- RxView – This secure, web-based application presents an easy way for employers to access member plan information to asist them with prescription benefit management. It essentially translates RxCLAIM member data into language that makes sense to the employers.
- Mail and Specialty Programs – Our mail and specialty pharmacy programs offer members convenience and easy access to their medications, as well as cost savings.
- Through Home Delivery, members can receive maintenance medications through the mail as well as refill reminders and many other services.
- Through BriovaRx, our specialty pharmacy members can receive specialty medications in the mail. We also provide counseling, education and many other value-added services to members using specialty drugs.
At Healthcare Highways Rx, we provide employers with innovative, proactive and sound clinical solutions that fully support the management of their prescription benefit. Our clinical programs are not bound to a specific channel (e.g., mail) or to a particular retail partner; rather, we look comprehensively to assess risk across all member claims, and drive results for employers across their entire population. We are pleased to present Healthcare Highways Rx’s clinical solutions:
Formulary, Plan Design and Utilization Management Products
- Formulary Management
- Prior Authorization
- Quantity Management
- Standard & Custom Step Therapy
Drug Information/Client Communications
- RxBulletin ™
- RxHighlights ™
- RxWeekly News ™
Risk Analytics & Personalized Interventions
- Medication Therapy Management
- Retro Drug Utilization Review
Drug Therapy Optimization, Safety and Adherence Programs
- Adherence Program
- Concurrent Drug Utilization Review
- Hospital Discharge Medication Review Program
- Diabetic Sense Program
- Briova Specialty Pharmacy Management Program
- Mandatory Mail Program
- Retail to Mail Program