Box. 1.

Real-time Prescription Benefits Tools Implementation Parameters (i.e. Configurations)

RTPB Implementation Parameters	Available Options	Example
Deployment setting	Inpatient, outpatient or both	A health system may choose to restrict availability and use of RTPB tools to their outpatient EHR.
Patient coverage	Contract with multiple RTPB vendors versus only one vendor	A health system contracts with more than 1 RTPB vendor to enhance population coverage.
Trigger for displaying results of a RTPB data transaction on a clinician’s screen (also known as a RTPB alert)	Automatic display versus “on-demand”	The EHR may choose to only display RTPB alerts after the prescriber chooses an “Estimate” button as one additional step of the existing e-prescribing workflow.
Cost differential display thresholds	A specific dollar amount versus no threshold (i.e. all RTPB transactions will display, regardless of the difference in OOP cost between the original medication ordered and the suggested alternative)	With the goal of reducing hard stops that may interrupt a prescriber’s workflow, a health system may choose to only display prescription alternatives when the difference between the original medication ordered and the suggested alternative exceeds a prespecified dollar amount (e.g. $3 per month).
Prescriber opt-out	Yes versus no	When displayed, the RTPB alert may have an option allowing prescribers to opt-out from viewing future RTPB alerts.