Clinical Services & Strategies

Serve You Rx offers a variety of optional clinical services and strategies that enable clients to meet plan goals and objectives through the development of a comprehensive and customized pharmacy benefit. These plan design elements aim to maximize cost savings, ensure appropriate drug therapy, improve member care and include:

  • Prior authorization
  • Quantity limits
  • Dose optimization
  • Step therapy
  • Concurrent drug utilization review
  • Retrospective drug utilization review
  • Formulary (preferred drug list) management and promotion of generics
  • Over-the-counter drug coverage and therapeutic category management
  • Dispense-as-written (DAW) adjustment
  • Adherence monitoring program
  • Opioid risk management program
  • Pharmacy benefit educational resources
  • Value-based benefit design

For more information, email sales@serveyourx.com.

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Opioid Risk Management Program

As a pharmacy benefit manager that is part of the drug supply chain, we take great responsibility and accountability to do our part in fighting against the substance use disorder crisis. Serve You Rx’s Opioid Risk Management Program addresses the crisis of abuse and addiction, and the associated problem of rising costs, by reducing the likelihood of misuse through a multitude of proactive and retrospective approaches.

SYRX Opioid Risk Management

Serve You DirectRxSM Mail Service Pharmacy

Serve You DirectRx Pharmacy mail service (DirectRx Pharmacy), which is fully owned and operated by Serve You Rx, is a safe, easy and cost-effective way for members to fill ongoing maintenance prescriptions used for chronic or long-term medical conditions. DirectRx Pharmacy offers:

  • Easy ordering of first fills and refills by mail, phone or online
  • Free standard delivery to members’ homes
  • Secure, confidential packaging, including options that are tamper-evident and weather-resistant
  • 24/7 Serve You Rx pharmacist consultation for DirectRx Pharmacy orders
  • In-house Serve You Rx customer service representatives ready to answer questions about getting started with DirectRx Pharmacy, ordering refills and more

For more information, email sales@serveyourx.com.

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Serve You DirectRx Specialty Pharmacy

Specialty drugs comprise a small but growing and very costly segment of today’s prescription drug benefit. These drugs generally require special dosing or administration, are typically prescribed by a specialist for complex medical conditions, require specialized patient training or care coordination, and are more expensive than most medications. The Serve You DirectRx Specialty Pharmacy (DirectRx Specialty), which is fully owned and operated by Serve You Rx, offers a full range of services and programs for patients who fill their specialty prescriptions through us.

For more information, email sales@serveyourx.com.

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Generic Incentive Programs

Serve You Rx offers several programs that promote the use of therapeutically comparable generic drugs as a first choice before the use of more costly brand drugs. The strategic use of coordinated plan design elements, such as step therapy and limited brand coverage, and targeted patient and provider communications help decrease plan costs and include options designed to meet a wide range of plan goals and objectives.

For more information, email sales@serveyourx.com.

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CAAP RX

Specialty Copay Assistance & Accumulator Program
CAAP Rx proactively identifies assistance programs provided by specialty drug manufacturers and applies Serve You Rx clinical intelligence to dynamically adjust benefit design for participating specialty drugs.

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Member Communication and Education

Serve You Rx provides clients and members with a wide array of tools and services to help maximize their pharmacy benefit and better manage prescription drug costs through informed decision making. Our account teams are available to attend employee meetings and benefit fairs to provide education and answer questions. Targeted mailing options are available to educate members on cost-savings available and the benefits of using mail service. Serve You Rx’s secure online member portal includes valuable information about copay comparisons, how to use mail service, locating network pharmacies, covered drugs and more.

For more information, email sales@serveyourx.com.

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Reporting and Analysis

Serve You Rx’s robust reporting and analysis capabilities allow us to:

  • Quickly turnaround ad hoc reports that include an explanation or interpretation of the findings
  • Provide data in a useful format so it can be used to help predict costs and make decisions regarding plan design improvements
  • Generate custom reports free of charge
  • Supply a plan performance review no less than 90 days before the plan’s renewal date—no calls or requests required
  • Offer online reporting demonstrations available upon request

For more information, email sales@serveyourx.com.

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