Top Pharmacy Software PioneerRx
Save + Revitalize Independent Pharmacy
Do anything you can to make the customer feel special, that theyre being taken care of, and that they are being looked at individually.
Do anything you can to make the customer feel special, that theyre being taken care of, and that they are being looked at individually.
In the past year, almost 40% of independent pharmacies who converted pharmacy software chose PioneerRx. Thats nearly double the sales of any other pharmacy system. Mic Drop
** 2017 Independent Pharmacy Survey Results
Certain tools are so good that using them would be considered an unfair advantage.
Get motivated to thrive as an independent pharmacy in a competitive world.
Of all the matters a pharmacist constantly worries about, pricing should never be one of them. Pharmacies that employ the PioneerRx pharmacy software have the ability to manage Pricing Schedules, which are structures that determine how much the patient will pay for the drug. Pricing Rules are set to determine what category patient, third party, facility, etc. the pricing applies to. Other features like Competitive Pricing allow you to see how the larger pharmacy chains are pricing their discounted drug programs so independent pharmacists can stay competitive.
Chris Cornelison of Iuka Drug andSaltillo Pharmacy & Solutionsrelies on the Pricing features in his pharmacy system to manage drug prices at his multiple locations, including his newest store, New Albany Pharmacy & Solutions. Chris handles a lot of high-volume generics that usually do not generate a high profit margin. I call these loss leaders, Chris explains. You wont make much money with these, so you cant price every drug like you would a loss leader. You need to adjust these prices, which is made possible by the Pricing features in PioneerRx. PioneerRx pharmacists are tackling all their Pricing needs with the help of their pharmacy technology.
Thanks to PioneerRxs pharmacy technology, patients have virtual access to their pharmacys services through a customized and brandedRxLocalmobile application that is free for Apple and Android devices. Once logged into the pharmacys RxLocal app, patients may submit refill requests, view their profiles and insurance information, and create medication reminders to help with adherence. RxLocal is also available as a custom website that digitizes the pharmacys refill services.Read More
PioneerRxs pharmacy technology allows for easy creation and management of customer accounts receivable. Among a variety of other uses, A/R Accounts allow pharmacies to provide patients with the option of making scheduled payments at a later date, organize charges for residents of long-term-care facilities, and bill delivery patients monthly. Features like auto pay, charge limits, and sub accounts are all included within A/R. When PioneerRx users need additional support with their accounts receivable or have other financial questions, they can always turn to the Accounting Support team for assistance.Read More
Reconciliation is the process of settling a customers third-party payment against third-party claims, which allows the customer to see what third-party claims are pending payment. Claim reconciliation is a major part of managing an independent pharmacy, and PioneerRx offers a complete suite of claim management tools within its pharmacy software system. The software downloads 835 remittance files and processes them overnight, and PioneerRxs Reconciliation Specialists handle files that cannot be processed completely because of claim fees, wrong check number, or wrong reconciliation account.Read More
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Pharmacy Software Features you are absolutely going to love…
Patient Health, Adherance & Medication Therapy Management (MTM)Tracking and coordinating your patients medications in your pharmacy software is even easier with built-in features on Adherence, Patient Risk, MTM and Med Sync.Integrated Medication Synchronization
Independent pharmacy leaders agree that the number one game changer in your pharmacy is to synchronize your patients medications. For the pharmacy, this provides a significant improvement in efficiency and inventory management. For the patient, medication synchronization can significantly improve adherence, convenience and overall customer satisfaction. Only the top pharmacy software systems have a medication synchronization program built into their work flow. Many others rely on third party add-ons that reduce efficiency and increase cost.
Want to learn more? Schedule a demo today and see how medication synchronization can transform your pharmacy
Integrated health information technology is bringing the pharmacy industry the opportunity to make a difference in total cost of care. The Patient Risk Score allows pharmacies to prove their value to payers by providing additional intervention with patients that are most at risk of serious health consequences.
Pharmacists using PioneerRx pharmacy computer software can identify the risk of individual patients being hospitalized in the next 30 days and next 12 months. This is based upon the patients medications and adherence. This Risk Scores are prominent throughout PioneerRxs comprehensive workflow. Medication Therapy Management (MTM) alerts are automatically generated for high risk patients and direct pharmacists to conduct interventions that may lead to improved patient outcomes.
The ability for a pharmacist to quickly analyze a patients adherence to all medications in their normal workflow is a feature included only in top pharmacy software. In PioneerRx, these numbers are shown and analyzed throughout the system and can be shown as medication therapy management (MTM) alerts. Advanced reporting capabilities allow this data to be easily searched, organized and exported in a variety of ways.
Unlike most other software packages and third-party add-ons, PioneerRx analyzes the data not only as a report card but in order to determine if action on the part of the pharmacy is warranted. These methods help account for patient hospitalizations and recent improvements in adherence which would affect overall numbers but would not require an intervention.
Improve patient outcomes and get paid for it by using OutcomesMTM and PioneerRx Pharmacy Software. This system analyzes Medicare Part D patients and provides helpful TIPs (Targeted Intervention Programs) on patients who need intervention. These TIPS are added right in your pharmacy management system. Once the TIP is completed, your pharmacy records it with the OutcomesMTM web platform through direct links from the pharmacy system without having to log in to OutcomesMTM directly.
Deliver first-rate patient care with PioneerRx and Mirixa. Mirixa is a cost-effective Medication Therapy Management program that is available to all PioneerRx users and found directly inside the pharmacy systems workflow. With Mirixa, users can evaluate the prescription history of each patient and isolate those non-compliant patients with recommended MTM actions. Once the action is performed with the patient, your pharmacy will record those steps with Mirixa directly inside the pharmacy software. Mirixa will also financially compensate you for promoting long-term health and quality patient care within your pharmacy. Only the best pharmacy management software have this feature integrated directly in their system.
Do you want to increase patient adherence and compliance? With the help of PioneerRx Pharmacy Softwares top-notch programs and features, you can potentially boost your pharmacys CMS Five Star Rating by increasing patient adherence. Only the best pharmacy software companies are tracking this directly in the pharmacy system.
The Center for Medicare and Medicaid Services (CMS) aims to provide better care, healthier people and communities, and lower cost care.1In alignment with this goal, CMS developed a one to five star rating system used to evaluate the performance of Medicare Advantage plans. A plans star rating is significant because it directly affects their compensation and marketing advantages.
Medicare Advantage plans are rated on performance areas, including outcome measures (improvement in health), intermediate outcome measures, patient experience, access measures (barriers to care), and process measures (how care is provided).1
Part D plans are rated on performance measures for four domains: Drug Plan Customer Service, Member Complaints, Problems Getting Services, and Choosing to Leave the Plan, Member Experience with Drug Plan, and Drug Pricing and Patient Safety. The Drug Pricing and Patient Safety domain includes Pharmacy Quality Alliance (PQA)-supported medication adherence measures.2
CMS also uses Display Measures to further evaluate Part D plans. Although not included in the plans star ratings, these evaluations are reported to CMS and are displayed on the Patient Safety website. PQA-supported measures of medication safety, including drug-drug interactions, excessive doses of oral diabetes medications, and completion rate of Comprehensive Medication Reviews, are measured and reported.2This is where pharmacies come in!
Data is collected detailing pharmacies performance in areas such as vaccinations, health coaching, medication therapy management, health promotion, care coordination, and adherence counseling.1Medicare Advantage plans are particularly focused on medication adherence for Part D patients receiving maintenance medications for diseases, such as diabetes, hypertension, and cholesterol.
Pharmacies performance evaluations could potentially determine whether a Medicare Advantage plan includes a pharmacy in a preferred network. Plans may seek pharmacies who support their goals and who are willing to work to boost their performance numbers, such as those related to medication adherence.
For pharmacies, this may be a prime opportunity to collaborate with Medicare Advantage plans to improve star ratings and ensure patients are receiving appropriate care.
The landscape of healthcare is evolving; in the future, pharmacies will play a growing role in providing comprehensive healthcare to their patients. We recommend you learn more about the CMS star-rating system and how your pharmacy is being evaluated.
With the PioneerRx Workflow Calendar you can quickly review your pharmacys workload in one convenient, easy-to-use location. This interactive calendar displays all prescriptions that are due for refill on each day of the month and can help the pharmacy identify compliance opportunities. Prescriptions are itemized by Regular Fills, Retail Sync Fills, Facility Cycle Fills, and also a grand total of all prescriptions. Selecting the various fill types will provide users with a detailed break-down per patient and display the workflow status of his/her prescriptions. Users can also save time by processing a patients outstanding Cycle Fills directly from the Workflow Calendar. With the calendars usefulReady %column, your staff can easily see how many prescriptions for each patient are ready for pick-up or delivery.
It is one of the best resources when planning workflow, scheduling staff coverage, or just adding new sync patients to your month. Pharmacies should use the Workflow Calendar to their advantage to maintain steady workflow progress and to ensure that prescriptions will be filled in a timely manner, optimizing the potential for better health outcomes. The Workflow Calendar is just one of the many built-in, time-saving tools that the PioneerRx Pharmacy Software offers to its customers.
Interested in providing your customers enhanced services? With PioneerRx, recording patient labs values has never been easier! Only the best pharmacy software system integrates lab value documentation directly into the patient profile.
PioneerRxs intuitive system will even notify users when a patients lab results are overdue by highlighting the lab in red on the patients profile and can automatically create an MTM action for that patient. This ensures that patients never miss scheduled lab work and serves to further improve patient wellness!
With PioneerRxs built-in patient notification option, you can send messages directly to your customers phone or email address when prescriptions are complete and ready for pickup, delivery, or shipment. More importantly, you can adjust the frequency of these messages for forgetful patients to remind them of their completed medications until they are picked up through the point of sale. IVR notifications are also available to pharmacies that have an account with an IVR company. VisitMarketplaceto see which IVR companies are integrated with our pharmacy software.
Many studies confirm that, on average, patients are five days late refilling their maintenance medications. Thats the equivalent of two missed refills per year. With integrated Automatic Refill options, your pharmacy can help improve your patients health and adherence scores.
Combine Automatic Refills and Patient Notifications for even better adherence practices. This is the pharmacy technology that helps you make more money and have more fun.
Rapid Data Entry and Enhanced Workflow
Who knew saving time could be so easy! With all the speed features PioneerRx can offer, you are sure to cut your time spent behind the computer.
In todays digital age, quick and easy access to your pharmacies documentation is crucial. PioneerRx not only includes the ability to receive faxes digitally, but also makes importing other files and documents a seamless processIng efficiency while at the same time, reduces clutter. Conveniently located in the PioneerRx Incoming Document Queue, you can review, edit, and categorize your documents and assign them to appropriate categories.
Every independent pharmacy is unique, and your workflows are no exception. The best pharmacy software systems incorporate features that allow you to customize your workflow to achieve optimal efficiency. The PioneerRx Intake Queue allows you to divide and conquer patients prescriptions while balancing workload. By scanning images in advance and assigning them to a patients profile, you can then complete data entry at an alternate workstation of your choosing.
With the PioneerRx Pre-Check station, a pharmacist has the ability to review each new prescription for potential data entry errors prior to third-party adjudication. This optional step of workflow can save both time and money by eliminating re-adjudication due to error, as well as the need to reprint incorrect labels. For pharmacies offering strip packaging, this integrated feature gives a pharmacist the opportunity to review data entry before data is passed to their device.
Hard copy image scanning is no longer optional. Only the best pharmacy software systems include this feature at no additional cost and incorporate it directly into your custom workflow. By using this integrated feature, you can scan and tie the prescription right in your pharmacy system. Link images to prescriptions, patients, items, third parties, facilities, compound and even physicians. These documents are always accessible on any workstation. While none of us look forward to an audit, PioneerRx provides you with peace of mind because all images are readily available in a clear and concise manner and can easily be exported to the report of your choosing.
As the pharmacy industry continues to rapidly evolve and change, so too must your pharmacys workflow. PioneerRx, the top pharmacy software system, can help keep you ahead of the competition by providing a truly customizable workflow solution that is built directly into your new pharmacy management system. Our custom-tailored, and fully integrated approach to workflow, allows your pharmacy to work smarter, faster, and safer. Youre independent for a reason. Let PioneerRx help you design a workflow that meets your pharmacys unique, and independent needs.
With the PioneerRx Pharmacy Software System, everything you need is a keystroke or mouse click away. When utilizing the integrated hard copy scanning feature, document management is quick and painless. Effortlessly link documents to prescriptions, patients, prescribers, items, suppliers, employees, third parties, facilities and so much more.
How fast can you add a patient into your new pharmacy management system? With PioneerRx, its the click of a button! 2D Barcode Technology makes populating a new patient profile or updating and replacing outdated patient information easier than ever before. Simply scan the barcode of your patients 2D enabled ID PioneerRx will automatically load many of the necessary fields.
PioneerRx allows you to seamlessly add or update prescribers from the National Provider Registry and DEA database all within your pharmacy system. By keeping it in inside your system, you keep the workflow moving for faster dispensing of the patients medication.
With our pharmacy software, PioneerRx, you will have advanced capabilities for importing and viewing eScripts. These tweaks inside the system will improve the workflow of your pharmacy by prepopulating fields with the eScripts data with no need to open multiple windows.
PioneerRx was also one of the first out to the market with integrated EPCS requirements, so your pharmacy is eligible to receive controlled substances directly in your fill request queue.
PioneerRx was one of the first on the market to integrate CoverMyMeds directly into the pharmacy systems workflow. CoverMyMeds is a free service that provides instant access to Prior Authorization (PA) forms for all Medicare Part D plans, Medicaid plans, and most commercial insurance plans. CoverMyMeds will process rejections due to Product/Service Not Covered, Prior Authorization Required, and Plan Limitations Exceeded. Within minutes, the correct prior authorization is found and can be completed online with data automatically pulled from our pharmacy system. This form is then faxed or sent electronically to the physicians office for speedy completion.
Wow your customers by filling their prescriptions faster. What once took days to get PA forms back now takes hours with the use of CoverMyMeds.
Dont worry about patients not having their insurance card when dropping off their prescriptions. With our Medicare and Insurance Lookup feature in PioneerRx, you can quickly and easily search for the patients third party information. All you need is their name, DOB, gender, social security number, and zip code to find them in our third party eligibility check program. How easy is that?
Will Call functionality is a crucial part of a pharmacys workflow. By scanning prescriptions into the PioneerRx Will Call system, you add efficiency and accuracy to the checkout process.
PioneerRx Pharmacy Software features an Easy Bagging solution. With Easy Bagging, simply scan each item on the bag, then scan into the appropriate will call bin. At the point of sale, the clerk can quickly scan any of the barcodes in the bag to bring up all the items.
To ensure that your customers leave with all their prescriptions, Rx Notifications are available at the PioneerRx POS. When a sale is totaled, the POS clerk can be alerted if the patient (or any patients at that same address) have additional prescriptions ready or in progress. You can stay on top of your patients prescriptions and save them a potential trip to the pharmacy.
Automatically bill the primary and secondary third parties directly within the pharmacy system. With PioneerRx, once you submit a transmitted claim, the third party will return a response right back. This is information can all be found back in the pharmacy system.
Prior Authorization has never been easier. PioneerRx works with CoverMyMeds to alleviate frustrations and streamline the PA process. Pharmacists are a click or keystroke away from sending data seamlessly from their PioneerRx system to CoverMyMeds where a third party-specific prior authorization form to can be sent to the directly to the prescriber.
When combined with our industry leading Accounting Support, PioneerRx helps you manage your pharmacys A/R or Charge accounts with ease. Accounts are integrated into the patients profile and work just like a credit card. From setting up customer auto pay to managing spending limits, authorized users, categories, sub accounts and so much more, the PioneerRx Pharmacy System provides your pharmacys A/R solution at no additional cost.
Are you being paid correctly by third parties? PioneerRx lets you keep all of your financials in one convenient location. The Reconciliation of Third Party claims via 835 files makes it easier than ever to manage your pharmacys books.
All available 835 remit files are automatically downloaded and reconciled overnight when payments match the details on the file. PioneerRx personnel handles files that cannot be processed completely because of claim fees, wrong check number, or wrong reconciliation account. Those payments covered by other manual remittances are handled and reconciled manually by the store. As always, the store is responsible for posting all payments in PioneerRx.
Contact our accounting department at 1- to learn more!
Prescription DIR fees have quickly become a heated point of contention within the pharmacy industry. Rest assured, PioneerRxs pharmacy technology has the tools to protect your independent pharmacy from this growing problem. With this pharmacy management system, you can quickly and easily identify losses on a prescription due to a Third Partys DIR fees!
PioneerRx makes it simple to load the DIR percentage or dollar amount directly into each Third Partys profile. That DIR fee will then be applied to every prescription where that Third Party is selected as the pay method.
PioneerRx Pharmacy Software readily displays the value of the DIR fee in the Gross Profit section of the prescriptions pricing information and alerts the user when the prescription dips into a negative Gross Profit due to the applied DIR fee. This helps pharmacies identify where the loss is coming from, so they can determine how to best proceed with the prescription.
From the start, PioneerRx Pharmacy Software changed the game when we became the first pharmacy software system to provide integrated Pre/Post Edit functionality. These Edits are designed to save your pharmacy money and prevent mistakes from walking out the door. Since both of these are important to your success, PioneerRx has included these feature at no extra charge. While other software vendors sometimes offer this service with claim switching, you may be charged as much as seven cents per fill, which quickly adds up.
PioneerRxs Pre/Post Edit solution allows to you fill with speed, efficiency and the peace of mind of knowing that costly errors can be addressed and prevented before its too late.
Pre-Editis an evaluation of the prescription data before it is sent in order to determine items that need to be corrected.Post Editis an evaluation of the claim data after it is adjudicated. You decide whether to reject, review, or ignore each type of Rx Edit issue.
Here are some examples of how you can use Pre/Post Edits in your Pharmacy.
Pharmacy contracts are typically based uponAWP X%+ Fee orMAC+ Fee. The non-fee version (underlined) is called the Basis. If a pharmacy transmits a claim with a basis less than their contract, the third party will typically pay the reduced amount. If this occurs, a Basis Limited post edit will be triggered.
With PioneerRx you can make more money by finding and correcting pricing mistakes that cause Basis Limited claims.
Pharmacy contracts typically limit reimbursement to the minimum of the contracted amount or the pharmacys Usual & Customary (Cash) price. The Cash price is transmitted with the claim. If this limits the third party payment, a Cash Limited post edit will be triggered.
Use this handy post edit to find and correct pricing mistakes that cause Cash Limited claims.
If a generic is available and a brand is dispensed without a reason provided, many pharmacy contracts will reduce reimbursement to the contract amount for the generic. Dispensing a brand when a generic is available will trigger a DAW Code pre/post edit, if a DAW code isnt selected.
One Texas pharmacy converted to PioneerRx and found that they had been being cut back $800 per fill on a drug in their previous system due to this issue. PioneerRx found the problem, and they were able to fix the prescription.
If an item that should not normally be broken down (Vial, Tube, etc) is filled with an incompatible dispensed size, Package Size pre/post edits are triggered. Filling with the wrong size can cause a significant loss of profit and possibly trigger an audit.
The average pharmacy makes an additional $100-$400 a month when these errors are corrected.
Third Party Remitted a Negative Amount (Post Edit)
Some third party plans are simply discount plans with 100% copay. Many charge the pharmacy for the privilege of accepting this plan. The third party sends the pharmacy a bill for these amounts. If a prescription returns a negative remitted amount where the pharmacy would owe a third party for filling a script, a Third Party Negative Remitted Amount post edit is triggered. Then, simply switch the prescription to cash or another discount plan that does not include a negative remitted amount.
Avoid paying unnecessary third party fees.
If an item is dispensed with an expired NDC, a pre/post edit is triggered. Inadvertently using a wrong or expired NDC could reduce your reimbursement and possibly trigger an audit.
By using this Rx edit, you could be preventing obsolete NDCs from ever being submitted.
Dispensing Item Out of Stock (Pre/Post Edit)
Keeping a perpetual inventory is a challenge in many pharmacy systems due to the dispensed item changing on refills. PioneerRx makes it easy with Dispensed Item Out of Stock pre/post edits.
If the gross profit on a prescription is less than the minimum percent or dollar value set by the pharmacy, a Low Profit post edit will be triggered. In addition,Smart Profit Rejectallows the pharmacy to include consideration of rebates and the last cost paid for the item before prompting a Low Profit post edit.
If patient identification, such as a drivers license or social security number, is required due to the schedule of the dispensed item and it has not been entered, Patient ID Missing pre/post edits are triggered.
Patient Information Missing (Pre/Post Edit)
If the patients allergy, other medications, and/or medical conditions are missing or out of date and a prescription is filled, Patient Information Missing pre/post edits are triggered.
Missing or Invalid DEA (Pre/Post Edit)
If a prescriber with a missing or invalid DEA is attached to a prescription, and the DEA number is required due to the dispensed item, Missing or Invalid DEA pre/post edits are triggered.
The pharmacy can define a high copay amount in location options. If a copay is higher than the amount defined, the pharmacy may choose to verify that the patient wants the item before it is filled. If a claim is adjudicated with a copay that exceeds this amount, a High Copay post edit is triggered.
If the secondary third party returns with a higher copay amount than the primary, a Higher Secondary Copay post edit is triggered. Misconfigured coupons or third party settings typically cause this error.
Missing or Invalid DPS (Pre/Post Edit) Texas
If a prescriber with a missing or invalid DPS is attached to a prescription, and the DPS number is required due to the dispensed item, Missing or Invalid DPS pre/post edits are triggered.
If only correcting a patients birthday when a third party had it wrong was as simple as a few clicks of the mouse. With top pharmacy software systems like PioneerRx, that wish is a reality. Claim Overrides allow you to submit the data they require without overwriting and compromising accurate information within a patients profile.
Have you ever been curious as to how other pharmacies are cash pricing?
PioneerRx has the solution. Included within your new Pharmacy Software System is the ability to review a statistical data analysis of cash and third-party pricing from other pharmacies across the country. With this tool at your disposal, you can confidently and competitively price all your cash prescriptions. No blind pricing. No costly add-on services.
Third parties base a pharmacys contracts upon some form of manufacturers price. When a manufacturer increases their price, many third parties experience a delay in obtaining and entering the new information into their systems.
When this situation occurs, the pharmacy may not receive the correct amount of payment. In order to receive this amount, the claim must be re-billed to the third party within the window for claims resubmission. Because some claims may not be reversed, oftentimes pharmacies experience losses when attempting to resubmit the claim.
AWP Rebilling works to address this problem by absorbing the risk of the reversed transaction. Ov