Worker's Compensation
Solutions

Industry Leading Workers' Compensation Solutions Built on Clinical Expertise and Robust Data

Our unique position as a pharmacy benefit manager (PBM) with a dedication to injured workers means we can tailor solutions to the specific needs of each client. Flowing from this idea is a robust set of workers' compensation solutions designed to achieve positive outcomes and return injured workers to the job while keeping patient safety as the highest priority.
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Our PBM Solutions Deliver:

Clinical value and capability: Our clinical team understands the specialized nature of work-related cases and has developed a range of pharmaceutical review and management programs. With customizable formularies, step therapy to ensure generic efficiency and proactive clinical alerts, injured workers receive clinically appropriate treatment while mitigating unnecessary prescription medications.

Actionable data analytics: The ability to analyze decades of case management data leads to increased predictability and stability with claims. With myDataSense business analytics and reporting and our CARE workers' compensation software engine, we turn raw data into useful information that helps injured workers achieve positive outcomes and clients achieve their larger claims strategy.

Product innovation with technology: We’re committed to a secure and frictionless customer experience across our product line. We offer a user-friendly and patient-centric claims portal and adjudication platform. We also deliver accurate electronic billing and out-of-network bill management, as well as complete oversight for paper billing and physician-dispensed medications.

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Clinical Capabilities

At 1st Remedy Rx, we practice proactive clinical management with the goal of improving patient outcomes, preventing avoidable medical expenses, and reducing pharmacy costs. We base our solutions on “doing the right thing” for patients and our clients.

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Data & Analytics

With data and analytics solutions from myMatrixx, we deliver actionable insights based on pharmacy trends that you can use to help you make educated, effective decisions. Products such as myDataSense and our Clinical Analytics Results Engine (CARESM) are built from a proprietary data warehouse and can be customized for the specific needs of a client.

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Innovation & Technology

Our technology provides claims professionals with a single online tool to manage pharmacy and clinical programs in a secure environment. With innovative technology, we designed a unique web portal that provides full access to critical information to better manage costs, utilization and clinical concerns.

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Customer Service

We’re proud to set the standard in delivering the best client and customer service in the industry. Our goal is to provide a customer experience that integrates seamlessly with our clinical solutions and technology to stay laser-focused on patient needs.

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Transparency

Clients should expect clarity and consistency with the services they receive from their PBM. 1st Remedy Rx combines custom-tailored solutions with the scale of our parent company to make claims management more transparent, predictable and affordable for our partners.

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