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About Us

ScriptGuideRX, Inc (SGRX), an independent corporation, has been providing Pharmacy Benefit Management (PBM) & Third-Party Administrator (TPA) services to private and public entities nationwide, since 2001. Our client base includes Employer Groups, Health Plans, State Drug Assistance Programs & Nonprofit organizations. SGRX is headquartered in Grosse Pointe Park, Michigan, and certified by the National Minority Supplier Development Council as a Minority Business Enterprise.

SGRX Mission:

Leveraging our expertise to provide affordable healthcare through the implementation of innovative, customizable solutions.

SGRX Vision:

To elevate the health and well-being of our team and partners.

The SGRX Difference

By taking a transparent & collaborative approach to cost management that engages patients, pharmacies & physicians, SGRX has decreased the net drug spend for new clients by 15 to 20% without any changes to the existing plan design. SGRX has helped our existing clients achieve net drug cost trend rates ranging from negative to single-digits for each of the past 17 years.

Our core PBM products & services include the following:

  • Unparalleled, PharmTech 24/7 Call Center Support
  • In-house Claims Processing/Administration
  • In-house National Pharmacy Network Management including over 60,000 pharmacy Locations nationwide
  • Clinical Services including P&T, Formulary & Utilization Management
  • Specialty Pharmacy Services including patient assistance program support
  • Benefit Design Consultation including custom plan designs & limited network options
  • Expertise in Reporting & Analytics including access to our robust reporting tool
  • Discount card options for uninsured/under-insured groups
  • Rebate Management Services
  • Flexible & Transparent pricing options
  • SGRX offers an all-inclusive administrative Per Member Per Month (PMPM) or Per Claim fee as opposed to a combination of an administrative fee & ancillary fees offered by our competitors. Ancillary fees typically include charges for items such as Prior Authorization, Adhoc Reporting, Case Management etc.

In addition to our full-service Pharmacy Benefit Management offering, we offer the following:

  • TPA services
  • 340B Administration
  • SGRX provides quality 340B administration program management services. Our platform is built to assist you with all of your 340B program needs while reducing costs, maintaining compliance standards and optimizing your overall program value. We are committed to our clients and work hard to provide fully transparent and secure services that benefit you and your program needs.

  • Contract Pharmacy Management
  • Order/Inventory Management
  • Program Compliance
  • Real-time claims adjudication/Eligibility Management (Powered by SGRX PBM)
  • Customized Reporting & Analytics
  • Insurance Benefit Management
  • SGRX’s insurance benefits management services are customized to meet the needs of its State Drug Assistance Program partners. Included in the list of IBM functions are:

  • Medical & Pharmacy Claims processing/administration
  • Premium collection/payment
  • Eligibility Management
  • Medication Therapy Management
  • The original definition of MTM within the pharmacy profession was “a service or group of services that optimizes therapeutic outcomes for individual patients.” The SGRX MTM program goes well beyond the basics and includes a patient-centric, team- based approach. Each member of our team of Pharmacists, Nurses and Pharmacy Technicians participate in MTM training with the goal of empowering patients to become active participants in the management of their medication regimen and overall health.

    At SGRX, MTM Programs are developed with the overarching goals of improved clinical outcomes and provision of cost savings. In order to accomplish both, SGRX creates tailored algorithms (based on client-cohort needs) that are executed with a consistent standard of care.

  • Consulting
  • Our healthcare consulting arm strives to help our clients and potential clients stay abreast of the dynamic / disruptive changes occurring in today’s environment including technology, demographics and regulatory environment. We work with you to evaluate and recommend cost effective solutions designed to increase efficiency and enhance employee satisfaction.