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Client Services
 
Join the SUNRx Family! 
 
We assist our clients in meeting their prescription benefit goals by providing expert advice and delivering innovative, customized plans. We work with our clients through a true partnership built upon Integrity and Trust. The key attributes that continue to distinguish SUNRx as an industry innovator and bring unprecedented savings to employer groups nationwide are:

Advocacy – SUNRx is an Advocate for its clients. With complete independence from manufacturers and mail order facilities, our core mission remains to represent our clients as an Advocate and provide the most therapeutically effective and safe medications to their membership while constantly negotiating deeper discounts.
 
Fiduciary – SUNRx acts as a contractual Fiduciary for its Clients. We act in your best interest – always. Our role as a Fiduciary can be seen through Full Advocacy, Full Transparency and ground breaking Favored Nations Pricing.
 
Full Transparency – Our client is charged only for what is paid to the network pharmacy. SUNRx does not keep “spreads”. Rebates, Market Share Allowances and all other Manufacturer incentives are passed onto the client. SUNRxs only revenue is it’s fully disclosed per PAID claim administrative fee or Per Member Per Month fee.
 
Full Disclosure – As an Advocate and Fiduciary, Client trust is tantamount to SUNRx. Through our Integrity based, Full Disclosure model, SUNRx provides Client Access to all information pertinent to their Prescription Benefit Plan, including but not limited to: Network Pharmacy Contracts, Mail Order Pharmacy Contracts, Manufacturer Rebate Agreements and Complete Electronic Claims Detail.
 
Favored Nations Pricing – SUNRx offers ground breaking Favored Nations pricing. SUNRx continues as an Advocate and Fiduciary to continually and aggressively advance our industry leading discounts. We bring those discounts, as they become available, to ALL of our clients regardless of size, contracted rates, or contract term. Customer Service and Efficacy First – led by an industry leading customer service pioneer and facilitated by state of the art telecommunications and Customer Service Technology, SUNRx continues to bring unprecedented levels of superior customer service to the industry.
 
Cost Containment - Through our innovations in prescription plan design and execution, we can lower our customers' costs and ensure that their members have access to the medications and information they deserve. We help our clients create customized prescription benefit plans and provide formularies that aid in reducing their drug costs.

Client Services 
 
SUNRx offers Transparent Retail and Mail Order Programs as well as our unique SUNRx 90 Program.
 
As a client you can access and/or help an employee with: 

  • Eligibility
  • Pre-Certifications/Prior Authorizations
  • Locate a Pharmacy
  • Drug Information
  • Plan Information
  • Plan Reporting
  • Email the SUNRx Customer Service Department
  • New and Discontinued Medications
  • Publications and Industry News   
    . . . AND MORE

Select the following link to learn more about SUNRx member services. 
 
Member Services 
 
Formulary Management 
 
SUNRX offers formulary programs that can meet your prescription benefit objectives. We offer a highly extensive standard formulary (SUNRx Preferred Drug List) that is designed to provide little to no member disruption. 
 
Innovative Plan Design 
 
Our principals, with combined experience in excess of 60 years, bring the most creative plan designs available in the industry today. In addition to our SUNRx 90 Program and Mail Order Programs, we also bring plan design options that provide incentive to increase generic and over the counter drug utilization, promote 90 day supply dispensing of maintenance medications, incorporate claim specific cost negotiation for high cost Specialty Medications. We also incorporate Pre-Certification and coverage parameters for high cost, high utilization, specialty and life style medications. 
 
Web Enabled Plan Administration and Reporting Tools 
 
Our dedicated Client Website makes managing your plan easy. We offer innovative tools for reporting as well as eligibility and claims applications, coverage reviews and appeals, the latest industry news and easy submission and viewing of service requests.
 
Customized Plans 
 
At SUNRx, we understand the importance of customizing plans to meet our clients’ needs. We have dedicated professionals that focus on the specific needs of each type of client group. From health plans to government agencies, consumers, labor unions, small employers and large employers, these professionals create custom plans that perfectly suit our clients' requirements. Each client type is managed by a specialized professional group that includes expertise in account management, sales, finance, clinical and analytical resources.
 
For additional program information, please select the appropriate link below: 
  
Health Plans
Managed care organizations, insurance carriers, third party administrators, third party affinity groups, associations and e-health plans 
 
Employers
Employers - including those with large unionized workforces, buying cooperatives, associations and coalitions 
 
Labor Unions
Multi-employer trust funds and benefit plans 
 
Government
Medicaid/Medicare, public universities, federal, state, municipal and county benefits
 
If you would like one of our Business Segment Specialists to contact you, please select the following link: Contact Us


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