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Feature Β· RTPB

Real-Time Prescription Benefit

H2H DigitalRx shows the patient's actual out-of-pocket drug cost - including copay, deductible, and coverage tier - at the moment of prescribing. Compare alternatives on cost and coverage before you finalize the prescription.

What Is Real-Time Prescription Benefit?

RTPB pulls live benefit data from the patient's insurance plan and returns the exact cost the patient will pay at the pharmacy. This happens within seconds, inside the e-prescribing workflow, with no separate login to a payer portal required.

How RTPB Works in H2H Digital Rx

1

Live benefit query

When a drug is selected, the system queries the payer for real-time cost data.

2

Cost transparency

The patient’s copay, deductible contribution, and coverage status are displayed alongside the drug name.

3

Therapeutic alternatives

View formulary alternatives with their cost differences so you can choose the most affordable covered option.

4

Patient conversation

Share the cost estimate with the patient before they leave the office to prevent pharmacy abandonment.

Benefits for Prescribers and Patients

Reduce prescription abandonment at the pharmacy
Eliminate surprise costs that lead patients to skip medication
Choose covered alternatives in the same therapeutic class
Improve medication adherence and patient satisfaction
No extra logins β€” cost data arrives inside the prescription pad

Related Features

Electronic Prior Authorization (ePA)
Initiate PA from the same workflow.
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Real-Time Formulary (RTF)
See formulary tier alongside cost.
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PDMP Integration
Check the prescription history without a separate portal - with an audit log of every query.
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See RTPB in your own workflow

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