Our core offering includes a comprehensive clinical program to help prevent and combat the misuse of prescription opioids. 

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.

Contact your account executive today to learn more about our Opioid Risk Management Program.

Analysis

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Real-time analysis is performed on all submitted claims to detect duplicates, refills too soon, and excessive dose or length of therapy.

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Opioid prescribing patterns, dispensing patterns of pharmacies, and member utilization are retrospectively reviewed to identify at-risk members.

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Formularies are designed to promote clinically appropriate drug use and generic utilization to offer the best value from a clinical, cost, and member-satisfaction perspective.

Analysis PDMP

Our pharmacists use a national prescription drug monitoring database to evaluate each prescription in the context of a member’s entire therapy, including prescriptions they’ve received from other pharmacies.

Safeguards

limits iconLimits are enforced in alignment with CDC guidelines on the days’ supply, number of units, and refills of opioids that members can receive within a given time period.stamp icon

Before benefit coverage is approved, the medical necessity of using opioids is confirmed to ensure they’re used in the most appropriate cases and dosages as recommended by the FDA.cost icon

Opioid costs are kept at bay by requiring members to try preferred drugs before more costly alternatives are covered.prevention icon

Appropriate cost control and care management strategies are developed with guidance from the FDA to prevent fraud, waste, and abuse.

Education

proper safe disposalOur website provides detailed information on how members can dispose of their unwanted medication, and we ship DisposeRx with each order containing an opioid.red pie chart

Clients are provided with useful, detailed reports on opioid usage within their membership, as well as progress on their participation with the program.

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Educational content and resources, including presentations and articles, are available for clients to share with their members.