Technology Solutions
Overview
- RxLogic is a technology-first company, with modern solutions that are purpose-built to transform every aspect of pharmacy claims adjudication operations including core claims processing, specialty services, discount savings programs and more.
- Designed for interoperability across the entire healthcare ecosystem, our highly configurable, single-tenant, cloud-native SaaS technology platform allows organizations to design, price and manage programs on their own terms.
Technology Enablement
- RxLogic's technology platform is a modern, independent, solution we independently designed, built and own, including the adjudication engine, application logic and source code.
- Running entirely on Microsoft Azure, the platform delivers high availability, enterprise-grade security and geographic redundancy, giving clients a technology partner that configures and advances around their needs, not another company's roadmap.
- With a robust Client API Library, we give clients a direct way to push and pull data to and from our system, without requiring custom development.
Full Service Claims Adjudication
- RxLogic delivers full-service pharmacy benefit claims adjudication, administration and financial management, without disrupting existing business. Real-time processing, broad network access and transparent rebate reporting give clients complete control over plan design and pricing, with no retained rebates, steered claims or spread pricing. RxLogic is not a PBM, so our interests stay aligned with yours.
Rebate Administration
- RxLogic brings clarity and control to rebate administration, one of the most complex areas of pharmacy benefit management. Real-time, claim-level visibility into the entire rebate lifecycle helps clients reduce net drug costs, strengthen formulary strategy and confirm rebate dollars reach their intended destination, with flexible financial models built around each client's risk tolerance.
PayRec
- RxLogic's Payables/Receivables Module is the industry's only standalone, technology platform built to automate financial workflows for PBMs, TPAs, pharmaceutical manufacturers and more, without requiring a claims system overhaul. A guided Batch Wizard automates payment files, invoices and claim-level detail, delivering audit-ready accuracy across every billing cycle.
Discount Card Technology
- RxLogic's Discount Card technology connects clients to dozens of vendors through one integration, replacing static single-vendor programs with a dynamic marketplace. Real-time, normalized pricing routes each claim to the best available option automatically, while clients retain full control over branding, priority logic and program design.
Network Services
- RxLogic simplifies pharmacy network management with a technology platform that delivers custom, multi-tiered configuration down to the plan, member group or ZIP code. Instant pharmacy validation and real-time routing give clients full control across commercial, hospice, workers' comp, discount card networks and more, with no delays or manual overrides.
Job Ticket Tracker
- RxLogic's Job Ticket Tracker provides real-time oversight of operational and client service workflows, enabling clients to track tasks, resolve issues and maintain accountability. By centralizing ticket creation, assignment and resolution, organizations reduce administrative burdens, improve response times and ensure transparent, audit-ready process management.
Prior Authorization (PA)
- RxLogic supports streamlined PA connectivity through a modern API technology framework that integrates PA data and workflows directly into claims adjudication, enabling real-time status checks, improved visibility and reduced administrative effort across partners. RxLogic utilizes a unified PA model designed for faster decisions, greater transparency and seamless coordination across PBMs, vendors and clinical systems.
E-prescribing
- RxLogic integrates real-time e-prescribing intelligence directly into its technology platform, giving prescribers instant access to coverage, cost and medication history. By unifying formulary and benefit data, real-time prescription benefit insights and complete medication histories, RxLogic enables safer, faster and more informed prescribing decisions.