The foundation, handled right
Claims Administration
Real-time, point-of-sale claims adjudication with eligibility and coverage checks at every fill.
Nationwide Network
Retail, mail order, and specialty pharmacies — 50,000+ locations nationwide, sufficient for real member access. Not sure if your local pharmacy participates? Ask us and we'll confirm.
ID Cards & Communications
Member ID cards and communication materials, customized with your branding at no added cost.
Direct Member Reimbursement
A simple claim form for out-of-network purchases, processed and reimbursed per your plan design.
Evidence-based, not economics-based
Prior Authorization
Client-directed or fully managed review, built on evidence-based clinical criteria — your choice.
Step Therapy & Limits
Quantity limits, dose limits, and step therapy protocols configured around your population's needs.
Drug Interaction Monitoring
Concurrent drug utilization review flags interactions, safety issues, and dose optimization opportunities.
Retrospective Review
Ongoing review of approved claims for clinical appropriateness and potential fraud or misuse.
High-cost therapies get high-touch support
Specialty medications carry outsized cost and complexity. TruthRx partners with Amber Specialty Pharmacy — a national specialty pharmacy focused on rare disease, transplant, oncology, immunology, neurology, and fertility therapies — for proactive outreach, copay assistance coordination, and members who stay on therapy without surprise bills.
Prior authorization for specialty drugs, reviewed for clinical necessity
Fast-tracked review keeps members from waiting on treatment they already need. Reach Amber Specialty Pharmacy directly at 844-896-7987 or my.amberpharmacy.com.
Support your members and your team need
For Members
For Plan Sponsors
Add what your plan needs, skip what it doesn't
90-day retail and Amazon Pharmacy mail-order options, so members can choose what's convenient for them.
Want to see how this fits your plan?
Tell us what you're working with — we'll show you exactly where the savings come from.