Pharmacy Solutions

Improve patient matching and data quality, medication adherence, all while protecting patient privacy


Experian Health supports pharmacies by improving medication access and patient outcomes through accurate data solutions, including social determinants of health (SDOH) integration to address barriers like transportation issues.

Our secure authentication solutions for prescription portals safeguard patient data, ensuring compliance and enhancing convenience.

Partnering with the National Council for Prescription Drug Programs (NCPDP), we offer the Universal Patient Identifier (UPI), leveraging Experian Health UIM and NCPDP Standards™ for unified patient records, enabling focused and effective care delivery.

Integrating Patient Access Curator and Self Service Patient Estimates

Simplify the patient experience when scheduling a medical service by letting the patient self verify insurance and receive their out of pocket expense from their home all facilitated by ONE Real-Time API.

  • Provides Medical Benefit verification (if patient’s insurance information is provided)
  • Appends an MBI without requiring the patient’s SSN to find Medicare coverage
  • Leverages updated demographic information to search for coverage (if not provided by the patient)
  • Provides Primary, Secondary, or Tertiary Medical Benefit information in order of primacy



The Universal Patient Identifier (UPI), powered by Experian Health UIM and NCPDP Standards™

In partnership with the National Council for Prescription Drug Programs (NCPDP) we have established The Universal Patient Identifier (UPI), powered by Experian Health UIM and NCPDP Standards™ across the entire United States health network. This vendor-neutral, cost-effective solution enables healthcare information exchange to improve interoperability and patient safety. 

  • See improved Prescription Drug Monitoring Programs (PDMP) when patients are matched with the UPI instead of probabilistic or manual processes
  • Eliminate duplicate patient records and enable patient identity management across health entities
  • Gain a comprehensive view of patients with trusted health, credit, and consumer data sources
  • Confidently fill electronic prescriptions

Improving medication adherence with social determinants of health (SDOH)

Did you know that an estimated 50% of patients don't take their medications as prescribed? Or that medical non-adherence costs the healthcare system between $100-$289 billion dollars each year? One way to tackle this growing problem is by understanding your patient's non-medical barriers to health, or social determinants of health. These barriers can include lack of access to transportation to actually pick up medications. If you had this information you could help with automatic refill programs or home delivery to ease the burden and keep them on track, avoiding costly readmissions and gaps in care. 

Achieve better care management by addressing the social determinants of health

What steps can your healthcare organization take to infuse SDOH into your care management processes?

Explore our solutions for Pharmacies

Patient access curator

Verifies medical benefits, appends an MBI without needing the patient’s SSN for Medicare coverage, uses updated demographics to search for coverage if not provided, and prioritizes medical benefit information.

Universal patient identifier

In collaboration with the NCPDP, our Universal Patient Identifier (UPI) covers every person in the U.S. population, an estimated 330 million Americans, and can be included in pharmacy transactions.

Social determinants of health

Ensure medication adherence by addressing non-clinical barriers to health such as access to care, access to medication, and housing. 

Patient engagement & marketing

Effectively prospect new customers and learn more about current patients, including lifestyle, demographic, psychographic, and behavioral data insights. 

Patient identity authentication

Be sure that every patient enrolling in your portal is who they say they are with state-of-the-art identity proofing, risk-based authentication, and knowledge-based questions.

Patient financial clearance

Improve patient assistance programs (PAP) by validating applicants meet qualifications to ensure an expedited enrollment process. 

Check out our pharmacy focused resources to learn more


The State of Patient Access 2024

automated patient financial clearance

Automate patient financial assistance screening to reduce bad debt

patient engagement enhaces collections

How patient text reminders streamline care and collections

Contact us

If you would like to talk to a Pharmacy solutions representative immediately, please call us at

1 888 661 5657

We welcome the opportunity to provide you more details.

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