VerifyRx™

Real-time prescriber verification


Pharmacies need to fill prescriptions quickly and accurately. VerifyRx™ is a real-time, compliance-based validation solution designed specifically for pharmacy and PBMs that seamlessly integrates into existing workflows.

As part of the pharmacy workflow, VerifyRx processes millions of transactions a day, updating data on prescribers in real-time, including Drug Enforcement Administration (DEA) and State data (when available) and daily National Technical Information Service (NTIS) data. The highly configurable and responsive tool identifies potential claims submission errors prior to dispensation. It provides real-time compliance checks on all prescription transactions before they are transmitted to payers, helping retail and specialty pharmacy reduce regulatory risk. It also helps Pharmacy Benefit Managers (PBM) increase the percentage of paid prescription claims.
  


VerifyRx provides audit defense as part of the pharmacy workflow.

Compliance Benefits:

VerifyRx offers audit defense and traceability to customers.

  • State license prescriptive authority, configurable by state and license type, down to NDC 11
  • All transaction data and configuration changes logged in real-time
  • Traceability to state and federal source data for each transaction
  • Monitoring and reporting of compliance performance

VerifyRx is highly flexible to meet legal, compliance and business needs.

  • State and Federal Prescriptive Authority at the taxonomy and credential level
  • Federal and State sanctions data
  • DEA and State license status

Workflow Benefits:

VerifyRx offers a reliable framework with comprehensive edits and advanced analytics.

  • Reliable framework – HPCC® Systems – our industry leading technologies, leveraging widely accepted open-source infrastructure
  • Fully scalable environment
  • Sub-second response times enabling near real-time input
  • High availability architecture and fully scalable environment
  • Daily updates to DEA and State data (when available) and NTIS file
  • Powerful reporting capabilities that are configurable so clients can look at specific criteria in their efforts to reduce risk across store locations.


VerifyRx Data Features

LexisNexis has developed advanced, proprietary linking technology and a sophisticated data analytics to turn disparate data into meaningful knowledge that helps you make impactful decisions. Our best in class state license data and robust state license prescriptive authority configurability allow VerifyRx to provide superior compliance on state level data. Customizable rules allow for the selection of any state and license type to be configured all the way from drug schedule, to NDC 11.

  • Maintaining information on more than 8.5M providers
  • 400+ routine feeds from state license boards
  • Board certification data from the American Board of Medical Specialties (ABMS)
  • DEA data from the Drug Enforcement Administration
  • Federal sanctions and exclusions from the List of Excluded Individuals/Entities (LEIE), SAM, FDA, DEA
  • State Medicaid Exclusions, NPIs from NPPES
  • Private IDN and GPO data feeds
Infographic

Validate Prescriptions to Stay Compliant Using VerifyRx

Video

Verify Prescriptions with VerifyRx

White Paper

Prevent Pharmacy Benefits Fraud Using Data & Analytics

LexisNexis® VerifyRx™ does not constitute a “consumer report” as that term is defined in the federal Fair Credit Reporting Act, 15 USC 1681 et seq.(FCRA). Accordingly, LexisNexis VerifyRx™ may not be used in whole or in part as a factor in determining eligibility for credit, insurance, employment or another permissible purpose under the FCRA. Due to the nature of the origin of public record information, the public records and commercially available data sources used in reports may contain errors. Source data is sometimes reported or entered inaccurately, processed poorly or incorrectly, and is generally not free from defect. This product or service aggregates and reports data, as provided by the public records and commercially available data sources, and is not the source of the data, nor is it a comprehensive compilation of the data. Before relying on any data, it should be independently verified.