DST Pharmacy Solutions is redefining the value of pharmacy in healthcare for plans of all sizes through outcomes-based solutions that include the integration of advanced analytics, clinical insights, and transformative digital capabilities.
We operate independently, without channel conflicts or competition with clients – so that means your strategy and success come first. Building on our legacy of strong technology and pharmacy benefit administration, our flexible model can help you navigate the complexity of the healthcare industry while driving the most cost-effective clinical, financial, and operational outcomes for you and your members.
Agile, reliable, and beyond the core capabilities of claims processing, RxNova™ is a high performance technology platform designed to manage the complexity of pharmacy benefit management.
RxNova provides interoperable solutions that can manage evolving benefit designs, support increasingly complex pharmacy claims adjudication, power sophisticated reporting and analytics, and present data visualization that can deliver actionable insights that help drive a holistic population health strategy.
By integrating our formulary management platform into our claims adjudication system, we deliver enhanced self-service and full-service solutions that help to align your rebate strategy with your managed formulary, and provide unit cost price protections across key drugs.
We provide retail, specialty, and mail order pharmacy network solutions and management at competitive rates transparent to our clients. We work closely with you to help determine the network strategy best suited to provide members optimal access while also working to operate cost effectively – helping you build networks that meet your needs.
We offer a unique, patient-centric set of specialty drug management tools and services – including medical benefit drug management, site of care strategies, and specialty pharmacy benefit – to help health plans manage quality of care and optimize spending.
We provide an integrated approach to drug utilization management that can help health plans manage the complexity of utilization management and reach their objectives. Our standard utilization management edits are designed to promote the safe, rational use of drugs in areas such as quantity limits, age edits, gender edits, duplicate therapy, and drug interactions.
Provide your members a discount on cash claims for retail prescriptions that are not covered under the pharmacy benefit plan. Our seamless program helps improve member satisfaction and provides the health plan access to complete member claims, including cash claims to support disease management and utilization management programs.