Take Control of Discount Card Pricing
Claims Manager helps pharmacies review live pricing, network fees, and pharmacy margin before claim submission, with automatic default pricing and built-in controls that keep workflow simple. Powered by RX.co Preferred Pricing™.
Greater Visibility
Build around visibility, automation and control
Cash claims are influenced by factors that are not always visible, including changing network rates and transaction fees. Pharmacies need compliant pricing strategies, but managing those decisions manually is often slow, fragmented, and difficult to scale.
See live claim pricing
Get real-time visibility into copays, network fees, and pharmacy margin before extra workflow begins.
Automate your preferred path
Use RX.co Preferred Pricing™ to apply a balanced default pricing path with simple override flexibility when needed.
Set custom price controls
Define pricing guardrails that help protect margin with flexible rules at the corporate, store, or product level.
Make pricing decisions with more clarity
Simple Process
How It Works
Enter the prescription
Start with the medication details and Claims Manager™ gets to work right away.
Review live pricing
See patient copays, network fees, and pharmacy margin in real time with clear visibility into available pricing paths.
Move forward with control
Use the default RX.co Preferred Pricing™ path or select an alternative tier with simple override options built into workflow.
Frequently Asked Questions
Answers to common questions about RX.co Claims Manager, pharmacy workflow, and real-time pricing
Does Claims Manager™ cost anything to use?
There is no cost to use the tool itself. Standard network admin fees apply only to claims your pharmacy chooses to accept.
What if we don’t currently take cash cards?
Most pharmacies are already exposed to cash card pricing through existing PBM and PSAO relationships. Claims Manager™ gives you a clearer way to visualize, manage, and control that activity instead of letting it happen without visibility.
Does Claims Manager™ require integration with my pharmacy software?
No. Claims Manager™ works without a traditional system integration. By routing claims through our BIN, the workflow is handled without requiring a software build on your end.
Will Claims Manager™ work with our current computers?
Yes. Claims Manager™ is a web-based application, so it works across modern computers and browsers without special hardware.
What is RX.co Preferred Pricing™?
RX.co Preferred Pricing™ is an automatic default pricing logic. It applies a balanced pricing path by default while still showing higher and lower alternatives for simple override when needed.
What are Price Controls?
Price Controls are configurable pricing guardrails that let pharmacies set minimum discount thresholds against U&C at the corporate or store level, with rule options by drug class, drug name, or NDC.
Ready to Take Control of your Cash Prescriptions?
Join hundreds of independent and retail pharmacies that are already saving time, building patient trust, and reclaiming their margins.