May 8, 2024

Real-time prescription benefit cost estimates available for VUMC Employee Health Plan

This change allows prescribers to provide pharmacy coverage details for the VUMC Employee Health Plan by showing co-pay amounts, if prior authorization is required, and suggesting potential alternatives.


  • At the start of the encounter, the patient’s pharmacy benefits plan is selected in Verify Rx Benefits. Most of the time this is done automatically or by intake staff
  • Place an outpatient medication order. Then, with the order in the order bubble or manage orders sidebar, select Options, then Patient Estimate

You may see a pop-up box that says a PA is required or show potential alternatives:

Remember, always use clinical judgment for appropriateness if selecting an alternative