eRx Network

eRx Network, founded in 2001 and headquartered in Fort Worth, Texas, provides data-driven solutions and third-party claims management for the retail pharmacy industry in the United States. The company's primary clients are pharmacies, for whom it aims to improve operational efficiency, optimize reimbursement, and enhance profitability. It also serves payers, pharmaceutical companies, and other healthcare stakeholders by facilitating patient-centric programs.

The company's core business revolves around its real-time pharmacy network, which is integrated into pharmacy workflows. This network processes a significant volume of transactions, handling approximately 1.5 billion claims and 520 million e-prescribing transactions annually, connecting around 59,000 pharmacies. Key services offered include claims processing and editing, real-time insurance verification, e-prescribing, and medical and vaccination claim billing. eRx Network also facilitates co-pay assistance programs and helps its partners manage profitability. Revenue is generated through these transaction processing and management services, with the company reporting approximately $67 million in annual revenue for the period ending in February 2020.

eRx Network has a history of acquisitions. In 2009, it was acquired by Emdeon. Later, as part of a joint venture formed in 2017 between McKesson Corporation and Change Healthcare Holdings, eRx Network was spun out. In May 2020, Change Healthcare exercised an option to buy back eRx Network, acquiring it for approximately $212.9 million. This acquisition was intended to broaden Change Healthcare's portfolio for pharmacies and leverage the combined medical and pharmacy data to serve patients, providers, and payers more comprehensively. Keywords: pharmacy management, claims processing, e-prescribing, retail pharmacy solutions, healthcare IT, reimbursement optimization, insurance verification, medical billing, pharmacy network, claims management, patient assistance programs, data solutions, healthcare transactions, prescription exchange, pharmacy profitability, co-pay assistance, payer solutions, healthcare data analytics, pharmacy services, health tech