Case Study: Large U.S. Pharmacy Chain reduces compliance risk and boosts efficiency and reimbursement with LexisNexis Risk Solutions' VerifyRx

Leading Drugstore Chain Chooses LexisNexis®

A major U.S. pharmacy chain faced increasing regulatory and operational complexity when validating prescriptions: prescriber licensure inconsistencies, varying payer requirements, DEA and state rule changes, diversion schemes and stricter CMS audits created a high risk of denied claims, fines and inefficient pharmacist workflows.

The chain deployed LexisNexis Health Care’s VerifyRx, a real‑time prescriber‑verification solution that checks prescriptive authority before adjudication, ingests DEA and state updates, creates instant audit trails and offers 60+ configurable checks. In 2016 the system prevented nearly 11.7 million irregularities (including state license and DEA issues, NPIs and sanctions), improved reimbursement and dispensing efficiency, reduced compliance risk and eased pharmacists’ workload.