NRx^® & PrimeCare^® Services Directory

Enables pharmacies to efficiently and cost-effectively transmit and process Medicare claims with a solution that can be customized to meet the unique needs of any organization.

AR Proactive simplifies patient billing, payments, and follow-up. It integrates bi-directionally with PioneerRx, QS1 NRx, and Axys LTC to automate:

• Patient statement mailing, emailing and text messaging
• Patient autopay
• Automatic follow-up
• Patient portal

The results are simplified billing, a better patient experience and higher patient payments.

Offers a member-owned buying cooperative that provides independent pharmacy owners the buying power of a chain with the financial management to address third-party collections and prevent misallocation of payments. It provides a platform for easy access to Star-Rating metrics, MTM, adherence and medication synchronization.

Provides a pharmacy knowledge base with data analytics and actionable intelligence on your operations in order to better drive business performance. It offers a Week-At-a-Glance dashboard, which shows performance over the last 12 weeks. It measures year-over-year results of your pharmacy's progress and compares it with your peers.

Amplicare (now part of FDS Inc. and formerly iMedicare) assists pharmacies in efficiently serving the growing number of Medicare patients by quickly presenting Medicare plan options that best fit their needs and integrates with QS/1's systems. It uses existing patient information to populate the necessary fields to quickly search and compare plans and sends a monthly report to pharmacies of eligible new patients turning 65. A desktop version and an iPad^® application are available.

Offers the Architext Graphic Library (AGL) that is fully integrated with QS/1's systems to provide a current warning label service. It prints warning labels and prescription bottle labels to save time and improve workflow. Seventeen languages are available, and the service does not require additional hardware.

A web-based platform that allows pharmacies to manage specialty pharmacy patients, referrals, clinical consultations, prior authorizations and more. The web-based platform provides community pharmacies access and counseling tools for rarely used and expensive specialty drugs.

Offers daily or weekly updates to Average Wholesale Price (AWP) and Maximum Allowable Cost (MAC) pricing and provides current information for Maximum Quantity, Generic, Strength and other fields required by third parties.

Bamboo Health NarxCare PMP Analysis (formerly NARxCHECK) is a patented analytics tool and care management platform that analyzes controlled substance data from Prescription Monitoring Programs (PMPs) and provides easy-to-use insights into patients' controlled substance prescription histories. Authorized prescribers and dispensers can easily access PMP data and NarxCare analytics within their own workflow, and decisions can be based on objective insights into potential drug misuse or abuse, ultimately leading to improved patient safety.

Provides online prescription refills via a pharmacy-hosted web application. The service is ideal for high-volume pharmacies with an existing website, and it integrates with websites built with .NET platform. It also displays messages for rejected refill requests.

CaptureRx manages inventory and financial flow for 340B prescriptions filled at contract pharmacies and performs the eligibility checks required to comply with 340B program requirements.

Provides a real-time solution designed to enhance efficiencies, protect margins and improve third-party reimbursements. It offers a series of edits that evaluate prescription claims and provide financial, administrative and legal compliance reviews prior to being sent to the processor and standard edits, including Average Wholesale Price (AWP) pricing updates, enhanced Dispensed-as-Written (DAW) code validation, standard dispense quantity checks and discontinued National Drug Code (NDC) alerts.

Offers free direct-to-patient messaging programs to provide targeted health-education messages based on past transactions and behavior. CarePoints integrates with QS/1 software and is customized for each store, allowing pharmacies to promote their programs to their patients. For each CarePoints printed, pharmacies accumulate credits that are applied to their quarterly PowerLine invoices.

Offers real-time or quarterly updates from First Databank (FDB^®) and provides clinical information for contraindications, drug interactions, allergies, geriatric and pediatric warnings, drug-food interactions and more. Updates are available in English, Spanish and French.

Antiquated fax machine technology causes many pharmacies to face issues with hardware troubleshooting, high supply and maintenance costs, and cluttered work areas. Cloud Fax is a powerful, easy-to-use, HIPAA-compliant solution. With a paperless system like Cloud Fax, hardware and supplies aren’t necessary. All you need is an internet connection.

Offers a web presence by providing a complete line of services designed to fulfill website needs without having to add IT resources or a web developer. It provides patients the option to manually create a profile and shortens the online-refill process by allowing patients to quickly enter a refill.

Helps physicians and pharmacists compile PA. It integrates with QS/1 pharmacy systems to initiate and track PA by passing claim information automatically to CoverMyMeds in pre-populated forms. It helps reduce prescription abandonment, eliminates administrative waste and provides faster determinations. It is free for pharmacies and physicians.

The DrFirst MedHx medication history service in QS/1's NRx compiles a patients's complete medication history, which is crucial to providing stellar healthcare.

DeliveryTrack is comprehensive pharmacy delivery software that enhances delivery logistics from item validation to signature capture. It ensures compliance, reduces non-compliance fines, and provides a full audit trail. Features include real-time tracking, route optimization, customizable delivery processes, and seamless integration with various systems and carriers.

DocuTrack is a customizable pharmacy workflow software that organizes and stores documents for long-term care pharmacies. It improves efficiency, reduces errors, and enhances productivity. Features include customizable workflows, audit assistance, automation with barcoding and ePrescribing, powerful search, and reliable document storage.

Developed by clinical pharmacists at Pharmacy Advantage, DromosPTM^® addresses the full spectrum of challenges specialty pharmacies face every day. It's an easily configurable Patient Therapy Management solution for streamlining clinical activities – from securing prior authorizations (and/or supplementary funding) to simplifying processes for drug delivery, refill, and counseling support.

Offers an extensive database of high-resolution drug images for prescription and over-the-counter drugs. Links to any 11-digit National Drug Code (NDC) file.

Printed patient education monographs provide directions on how to take medications, possible side effects and more. Monographs are available in English, Spanish and French.

Verifies third-party payments match adjudicated amounts and identifies unpaid and underpaid claims. It requests monies due by third-party payers and tracks open receivables to the claim level.

ENGAGE is a comprehensive patient management solution that helps you efficiently prioritize and deliver on all clinical opportunities, improve Star Ratings, and strengthen the relationships you have with your patients.

Offers a full range of programs and services through a buying group of more than 1,000 independently owned pharmacies across the country. Reconciliation programs are available through QS/1's Data Collection service to member pharmacies that enroll.

Helps pharmacies improve patient safety and prescription quality by managing the risk of adverse drug effects and enabling more informed treatment decisions across care providers. The ESI Rx History service provides patients' prescription information through QS/1's PowerLine™ claims switch. It stores patient medication information in a repository, and when patients are admitted to a hospital or long-term care facility, providers have instant access to their medication history.

Provides electronic DME claims processing for Medicare, Medicaid and private pay/third parties and works with QS/1's pharmacy systems without the need to purchase additional software. It automates bills for recurring rentals, handles secondary billing automatically or manually, simplifies held or rejected claims and reconciles DME claims.

Provides electronic communications between prescribers and pharmacies to generate, transmit and fill prescriptions for Schedule II, III, IV and V controlled-substance prescriptions. It secures electronic record keeping, which reduces fraud and abuse, and offers software certified by Surescripts^® and the DEA. Requires e-Prescribing and Service Pack 19.1.12 or higher.

Offers pharmacies a single-hosted web page to provide online refill services with minimal effort. It provides the option to add a QS/1-provided link to any existing website, allowing patients to quickly enter refill requests online. It communicates directly with QS/1's systems to eliminate data entry, simplifying the filling process and improving workflow. It validates prescriptions in real time and includes the delivery method, date and time they will be ready for pickup.

Offers a paperless program that does not require data to be submitted directly from the pharmacy. It collects Medicare/Medicaid claims via QS/1's PowerLine™ claims switch, submits them to Roche and processes them once they are verified. To participate, pharmacies must be Medicare Part B/Medicaid FFS providers and accept assignments on ACCU-CHEK^® products and purchases through an authorized distributor.

GeriMed offers reconciliation and other services for member pharmacies.

Provides Medicare HCPCS Allowable updates to DME MAC HCPCS, Fee Schedules as changes are made available by CMS and Diagnosis Codes and OCNA Medicap numbers.

QS/1 Hardware Maintenance helps protect your hardware investment against the unexpected. Through a partnership with Ricoh^® USA, Inc. we provide on-site technicians to our customers nationwide. You get convenient, personalized service for all hardware-related matters, from servers to printers and everything in between.

Health-Minder is a feature in QS/1's software that automatically refills prescriptions for patients who are enrolled. If pharmacies utilize QS/1's Interactive Voice Response (IVR) system, patients can be notified when their refills are ready for pickup through the call-out feature. If patients prefer to receive notifications via email or text, there is an additional service available through ConnectiveRx powered by PDR.

Hudson Headwaters 340B offers inventory management for 340B drugs and provides standard reports on dispensing activity and inventory. The service also ensures audit readiness by sampling scripts annually or as requested.

Measures a pharmacy's performance against benchmarks, assesses market opportunities, designs and monitors customer loyalty programs and manages patient adherence, persistence and compliance programs.

InfiniTrak ensures DSCSA compliance for RedSail Technologies pharmacies, simplifying Track and Trace. Features include real-time trading partner verification, suspect product management, free continuing education, and no hidden fees. Benefits include unlimited partner connections, data retention, customizable SOPs, live support, audit assistance, and FDA 3911 reporting.

Provides pharmacies and health systems of all sizes with applications that include claim reconciliation, exception management and patent-pending technology for managing contracts and business intelligence. It manages claims and provides payment reconciliation services for pharmacies to ensure appropriate reimbursements.

Reports therapeutic market share performance to drug manufacturers for rebates.

Provides pharmacies with tools to manage inventory in a single application and track it through its lifecycle - ordering, receiving, dispensing, adjustments and transfers. It provides real-time reports with insight into levels, variances and stale inventory at each location and integrates with the SureCost purchasing system.

CIM is a web-based solution, providing visibility and control to pharmacy inventory by integrating with pharmacy management systems, like QS/1. The automated approach helps to reduce excess inventory and increase turns, while reducing the amount of time spent on inventory tasks. CIM offers automated ordering with pre-determined quantities based on demand, the ability to control inventory at the NDC and therapeutic group levels, actionable reporting, and dedicated consultative account support.

LSPedia’s OneScan Pharmacy Pro ensures full DSCSA compliance with a seamless, cloud-based solution. Features include receiving ASN/EPCIS data, verifying licenses, automated error detection, and tracking product lifecycles. RedSail Technologies customers benefit from unlimited trading partner connections, DSCSA SOPs, extensive data retention, reporting, and easy FDA 3911 reporting.

Provides a tool for measuring total Star Ratings or per-patient ratings per measure. It identifies new or lost patients quickly and displays them on an interactive geographical map. It compares the best NDCs for dispensing to enhance revenue and offers dashboards for measuring performance and identifying opportunities. It also tracks prescription volume, generic fill rates and maintenance medication usage.

Maxor 340B (formerly 340Beyond) provides 340B drug programs, disease management, and pharmacy benefit management programs to hundreds of hospitals and health centers nationwide.

Prints federally mandated MedGuides at no charge for customers enrolled with CarePoints. PDR's MedGuides are formatted to be about one half the size of the FDA version saving resources for the stores.

Provides a convenient solution for electronically billing Medicare and Medicaid DME claims at the point-of-service via QS/1's systems. Real-time edits verify patient ID, doctor DEA/NPI, diagnosis code, quantity, Maximum Allowable Cost (MAC) price, refill demographic information and more. It handles coordination of benefits and allows assignments to be accepted by the pharmacy or patient.

MedTek21 is a real-time health and medication risk management platform that incorporates drug-to-gene monitoring.

Enables NRx^® and PrimeCare^® pharmacies to serve Part B customers and print CMS Medicare Part B required documentation, including Medicare Supplier Standards, Assignment of Benefits, Proof of Delivery and item-specific Physician Orders.

Shares medication history information across providers during a patient's office visit through electronic prescribing and electronic health record systems that are certified for Medication History services. The service accesses and aggregates patient medication history from community pharmacies and medication claim history from payers and pharmacy benefit managers.

Integrates with QS/1 to deliver a unique paperless digital experience with no change in workflow. An innovative patient-education solution that reinforces safe medication use by providing patients with on-demand access to prescription-specific video briefings and other powerful information-sharing tools. Provides information patients need to take their medications as prescribed, which improves medication management and care outcomes. Patients can opt in to receive the medication leaflet and Medication Guides using MedsOnCue. View a sample video here: http://vuca.us/9evzafun.

Medtel Communications is a pioneer in the telecommunications industry, providing cloud-based unified communications, contact center, and collaboration tools for businesses worldwide. Medtel is built upon a 50-year history of telecommunications innovation and experience that began with the design and manufacturing of traditional PBX phone systems, leading to the development of an enterprise-class proprietary cloud communications platform. Medtel is committed to helping businesses adapt to ever-changing workplace demands for communication and collaboration by providing extremely reliable, easy-to-use products and software applications. Medtel is headquartered in Palmetto, Florida, with satellite offices around the U.S.

Provides pharmacies with a real-time solution to track pseudoephedrine (PSE) transactions and ensures compliance by collecting and uploading signatures via the signature capture pad. MethCheck works with QS/1's Point-of-Sale and complies with federal, state, and local laws governing the purchase, sale, and reporting of PSE items.

Is the superior analytics tool for community and institutional pharmacy. Designed for pharmacists' needs, Mevesi unifies prescription, point-of-sale, claims, inventory, and other data into one view, transforming data into decisions. The goal is to provide you with sophisticated but simply accessed insights into your business – because the pharmacy's data is always growing, pharmacists' time is valuable, and your business health is good for everyone.

NHIN by Change Healthcare provides reconciliation services to assist pharmacies with filling, submitting, and receiving reimbursements for third-parties.

Provides patient handouts on potential drug/nutrient depletions, advice about possible interactions with herbs and natural products and integrates with QS/1's systems without any additional hardware or software requirements.

340Basics, now Nuvem is a cloud-based technology solution that captures and processes 340B-eligible patient claims.

Applies consistent data-driven methodologies that easily integrate into existing workflow to manage prescription drug inventory. It provides pharmacies with the tools they need to accurately manage inventory by setting quantities and re-order points, which can increase profits and improve customer service.

Provides solutions to support clinical services, including identifying, resolving, documenting and communicating medication therapy issues, for patients and prescribers. You must sign up with OutcomesMTM before integrating the service into your QS/1 system.

Minimizes operating costs by placing orders utilizing a cost structure to meet financial objectives. It allows pharmacies to place orders at the last possible moment while still meeting service objectives. It helps reduce spoilage for short-date products by setting an allowed spoilage percentage and offers an executive dashboard to assess company performance and review future projections.

PharmaForce is a smart and cost-effective approach to 340B Program Management. It is a comprehensive 340B technology platform that is powered by rules-based compliance engines to assist covered entities in managing their Contract Pharmacy, Mixed Use/Split Billing and Home Infusion needs.

Delivers a comprehensive end-to-end 340B solution. It manages the eligibility process from start to finish with the pharmacy's data format and frees the pharmacy from having to identify 340B-qualified prescriptions. It also provides a comprehensive, integrated and easily auditable picture of eligibility for patients, drugs dispensed, health records, purchases and invoices.

Plenful can optimize administrative work with our AI-powered workflow automation platform. Our solution maximizes operational efficiency for healthcare organizations, ensuring improved productivity and revenue capture.

Revises the Cost File and/or AWP Cost Field and Price Zones 1-4 monthly.

Pointy from Google attracts local shoppers to your store by showing them what you sell. As a POS partner, Pointy is a free add-on for Lightspeed Retail POS (X-series) users.

PrescribeWellness, by Outcomes, can increase patient loyalty by allowing pharmacies to engage their patients and focus on adherence, revenue growth and Five-Star ratings and it offers health-screening events, along with allergy and asthma awareness programs for participating pharmacies.

Integrates with leading electronic medical record (eMR) solutions to provide rapid, reliable deployment and compliance with federal mandates for e-Prescribing. It offers a linked network of long-term and post-acute care facilities, prescribers and allows pharmacies to deliver electronic census information, new orders, fill confirmations, resupply requests and discontinue medications. It uses NCPDP Script 10.6 XML message formats for all facilities, prescribers and pharmacies.

Analyzes all drugs dispensed throughout the pharmacy to ensure maximum profit potential and assigns a pharmacy advisor to review and suggest courses of action. It offers multiple areas of focus, including prescription-pricing and third-party profitability analysis, generic utilization and efficiency, correction of underpaid claims, reverse and rebill reports and Cardinal Inventory promotional products.

ProvierPay, by McKesson, is a web-based service that positively transforms the way pharmacies manage their claim and payment data. ProviderPay automates and accelerates many of the tasks required to manage the financial side of the pharmacy, such as reconciling claims to remittances, connecting to and managing electronic payers, and compiling key information for pharmacy actions.

QRx Edit Assurance pre- and post-editing solution, powered by Pharmacy Software Solutions, is the smart answer for pharmacies that must navigate the claims-adjudication process. Improve productivity, shorten collection windows, maximize reimbursements, increase profits and reduce resubmissions. Provides a complete business-analytics suite with pre- and post-editing of claims and fields in the adjudication process.

Uses either an iPad^® or iPad mini^® to capture required delivery information and upload it into QS/1's NRx^® via the pharmacy's Wi-Fi. This service captures required signatures, accepts payments at the point-of-delivery, adds a charge amount for each delivery, assigns a driver/delivery person to each device and displays driver/delivery notes. The app does not require an internet connection and is available as a free download from the appropriate app store. This service requires QS/1's NRx and Point-of-Sale systems.

QS/1's PMP extracts controlled-substance prescription information from pharmacies' PowerLine™ claims or the Rx Monitoring Log and submits it to the state agency within the required time frame to ensure pharmacies are compliant with state laws. This eliminates the need for staff to manually report to the state agency. Pharmacies are assigned an iManager account, and if the state provides error reports to QS/1, pharmacies can use iManager to review that information and the claims submitted. PMP currently reports for 46 states.

QS/1's ShipRx combines QS/1s NRx and Point-of-Sale (POS) systems with our Shipping interface to form one, efficient system. ShipRx expands your pharmacy's capabilities with the tools needed to increase daily productivity, while meeting your patientslivery needs.

The exclusive RedSail Copay Assistance Program offers RedSail network pharmacies access to unique copay solutions, providing lower costs and increased revenue. Benefits include significantly better copays for patients, faster two-week reimbursement, ready-made marketing resources, an online claims analytics portal, and support from clinical program coaches.

TransactRx, now a RedSail company, helps pharmacies provide vaccines and clinical services and capture more revenue – preventing underbilling, improper coding, or missing information.

• Payment rate near 100%
• Patient eligibility check in real time with follow-up information
• Real-time edits to minimize delayed or denied claims
• Proactive claims status management for all payer rejected and zero pay claims

RedSail RxCash+ helps pharmacies manage cash transactions with AI-driven, customized pricing algorithms. It offers flexible subscription or per-transaction models and provides pricing visibility across locations. Benefits include potential revenue uplift, time savings for staff, full pricing visibility, rebate opportunities, and support from a dedicated clinical pharmacist program coach.

RedSail's Patient Notification Service (Text and Email) is an automated process that enables the pharmacy to regularly communicate with its patients electronically by sending fixed email and text notifications directly from the pharmacy to the patient's email account or mobile telephone number reminding the patient to refill a prescription, pick-up a prescription or notify the patient of issues with his/her account.

RedSail Websites offers an easy-to-build, custom pharmacy website with drag-and-drop functionality, no coding needed. Features include pre-populated health content, appointment scheduling, and future online store and POS integration. Benefits include brand customization, SEO optimization, business growth through digital catalogs, and dedicated support to enhance community engagement and operational excellence.

Automates critical elements of claim adjudication by providing actionable messages specific to each claim. It offers a web-based suite of reports regarding the use of PPE and offers Core PPE, including AWP comparisons; DAW appropriateness for multisource brands; U&C market comparisons; quantity/days supply; Medicare verifications; Drug Enforcement Administration (DEA) authentications; NDC validations; and quantity/package size and National Provider Identification (NPI) validations.

Offers automatic daily backups stored at two geographically separate data centers. It encrypts transmissions using government-certified FIPS 140-2 AES and provides recovery services, including equipment replacement, data reloading, system configuration and testing.

Helps ensure medications reach patients during a disaster. It works year round to support a resilient bio-pharmaceutical supply chain before, during and after disasters and offers the Rx Open tool to connect patients with open pharmacies during emergencies.

Offers the potential to earn additional revenue through opportunities manufacturers make available to network members. It promotes patient compliance through refill-reminder letters and provides information about prescribed medications. It also offers network pharmacies contract-based pricing, as well as front-end discounts and/or back-end rebates on vaccines and ancillary supplies.

Prescription translation services that also provide medication directions and usage. Prints labels, SIGs and auxiliary warnings in 17 different languages.

Provides pharmacies the ability to easily track orders and invoices to maintain cash flow and reduce paperwork. Safeguards support 340B compliance and help prevent drug diversion.

Script Care (SCL 340B CARE) provides an operational framework to meet administrative and inventory control challenges, maximize potential savings, control cost for covered entities, and help manage compliance and reporting. SCL offers a unique combination of experience with the complicated regulations governing 340B programs and system and platform flexibility, which allows them to quickly adapt to both ever-changing government regulations and the evolving needs of their clients.

SMP, by Outcomes, is a service that allows pharmacies to report immunizations directly to local or state Immunization Information Systems (IIS) registries as an automated, electronic-background process. SMP, connected with the IIS registries and the QS/1 software, allows this turnkey, hands off process to run. This solution allows pharmacies to be compliant and active in keeping up with immunization reporting within the IIS registries.

Scriptera provides an online software platform that allows users to access and analyze certain drug prescription and dispensing activity data. The service also allows the end users wholesalers, with written authorization by the end user, to access the data for compliance monitoring purposes.

Maintains a staff of 75 technology experts, 35 support specialists and a dozen pharmacists and medical professionals. It offers solutions to pinpoint savings opportunities with automated workflow solutions.

Offers a local back-up solution with the capability to fully restore the operating system, software applications, drivers and local files. It encrypts back-up data with industry standard AES 256-bit encryption and provides an alert notification message that displays the back-up status on the desktop. It works on existing hardware.

STRAND is a clinical pharmacy solution center that educates patients on a wide range of topics, from diabetes to COPD management. These resources provide pharmacists with the technology to take their business to the next level.

Symphony Health offers a rebate program based on de-identified prescription data. The data is used to compile information on drugs prescribed, drug quantities, regional information, and other analytics for the healthcare industry.

Offers multiple standardized messages to patients and provides unlimited email. Pharmacies should sign up with PDR MedGuides/CarePoints in order to participate in text/email service. To view more services offered through PDR, refer to MedGuides under Legal and Regulatory and CarePoints under Rebate Programs.

TherigySTM, by CPS, is a patient-focused specialty therapy management company. As an industry pioneer, Therigy continues to lead the specialty pharmacy market as the top choice in technology and consulting solutions—with the best possible outcomes for patients in mind. Therigy equips pharmacy stakeholders with the tools to standardize and scale patient management programs—with a depth and consistency of clinical care never before possible—helping them to deliver value-based outcomes, gain insights into evolving patient needs, and predict therapy trends.

Medication Synchronization (Med Sync) coordinates a patient's chronic prescriptions to be picked up at the same time each month, providing the opportunity for the pharmacy to intervene with the patient on a regular schedule.

A web-based care coordination suite that helps pharmacists exchange secure message, receive transitions of care and engage patients in order to provide better care, take advantage of new revenue opportunities and lower costs.

Provides print, mailing and e-Document delivery for your monthly charges and statements. Customers upload state files each month via their QS/1 systems, and VFI postal sorts, copies, folds, inserts and mail statements with a return envelope. It helps you market the service to your patients and allows them to sign up via your website. Your patients can then view, download and pay their statements electronically.

With 340B prices changing every quarter, Verity 340B Purchase Analytics is an automated solution to help covered entities capture additional savings opportunities by identifying the lowest spread between 340B and non-340B drug prices, providing the "best fit" within your inventory.

Voucher on Demand from eRx Assist is an automated, real-time solution contained within the pharmacy workflow. Pharmaceutical manufacturers buy down a patient's co-pay (or out-of-pocket expense) with the intent of helping a patient purchase and take their mediation as prescribed.

Provides a web-based DME billing solution for sending claims electronically in an 837/5010 format file to third parties. It offers eligibility and same or similar checking, payment-collection solutions. It provides the option to edit claims on the Waystar website and maintains up-to-date information on changing governmental regulations, payer policies and payment models. The new denial management option tracks and manages denial workflow from start to finish. Users can drill down into data for clear reporting on financial impact and staff productivity.

Increases accuracy as prescriptions are sent directly from the prescriber to the pharmacy, eliminating phone and faxed refill requests. It works with Surescripts^® via a secure network.