MEMBER JOURNEY
Empowering Clients. Guiding Decisions. Elevating Member Journeys.
We help clients deliver a pharmacy benefit that meets their members’ needs and fits within their budget. Our member experience is driven by convenience and simplicity, with quick response times, multi-channel notifications, and easy-to-use digital tools.
The Member Journey
The member journey begins when the employer selects the formulary, network options, and plan exclusions that drive how the plan operates. No matter what an employer’s plan looks like, one thing remains constant. Our human-led Member Services team delivers a high-touch experience that keeps members informed, engaged, and satisfied. We prioritize resolutions over length of call and offer proactive, compassionate support that truly makes a difference.
Meet Amy, a 33-year-old woman with plaque psoriasis. Here's her prescription journey:
Amy’s doctor prescribes Skyrizi®. It requires a prior authorization (PA), which her doctor submits to Illuminate Rx.
Amy receives a push notification from RxBenefits that a PA has been received and is under review. She is directed to the Member Portal and registers to easily access her prescription history, real-time PA status updates, and digital ID card.
A pharmacist reviews her case and contacts her doctor to recommend switching to Otezla® for its lower net cost and clinical appropriateness. Amy’s doctor agrees and sends the new prescription to her preferred specialty pharmacy.
She receives a text and portal update that her PA status has changed, and a new medication is approved and ready for her to fill.
Amy checks the portal and sees that her prescription is being filled by the specialty pharmacy. She also sees her cost and can contact the pharmacy directly for payment and delivery details. If she needs help, Member Services is just a phone call away.
Amy’s medication arrives in her mailbox several days later, and she begins taking her medication.
Illuminate Rx is redefining pharmacy benefits management with unprecedented clarity and a member-first philosophy while driving to the lowest net cost.
From optimizing biosimilar usage to delivering tailored solutions, we empower benefits advisors, employers, and members to make informed decisions while maintaining the lowest possible net cost. Our commitment to clarity, control, and collaboration ensures we remain a trusted partner for sustainable, high-quality pharmacy benefits solutions.
Designed by pharmacists. Powered by data. Obsessed with outcomes.
Transparency is a Start –
But Cost Control Drives Results
Transparency alone is not enough. Illuminate Rx builds clinical management and lowest net cost execution into every plan — so employers can identify and execute on savings opportunities.
Take the first step toward greater clarity, lower costs, and better member care. Meet with us today to uncover untapped opportunities within your plan.