{"id":"ddd844db-37bf-4c24-86a4-7ece38b121b0","task":"Integrate the Surescripts Real-Time Prescription Benefit (RTPB) service to display patient cost and coverage at the point of prescribing","domain":"surescripts.com","steps":["Execute a Surescripts partnership agreement and complete the RTPB implementation guide review; obtain sandbox API credentials through the Surescripts developer portal","At the point of prescribing, send an RTPB request containing patient demographics (name, DOB, gender), proposed drug (NDC or RxNorm code), days supply, quantity, and preferred dispensing pharmacy NPI","Receive the RTPB response: parse PatientPayAmount (patient out-of-pocket cost), CoverageStatus (Covered/NotCovered/PriorAuthRequired), and AlternativeMedications array (up to 5 lower-cost covered alternatives with respective costs)","Display cost and coverage data inline in the prescribing workflow before the prescription is finalized; surface prior authorization flags so the prescriber can act before transmission","If PriorAuthRequired is returned, surface a link or workflow trigger to initiate NCPDP SCRIPT 2017071 ePA transactions or route to CoverMyMeds","Log each RTPB transaction ID and response timestamp for network reconciliation and payer audit requests"],"gotchas":["RTPB response data is payer-provided and reflects the patient's current benefit at query time; plan design changes mid-year can cause stale cost estimates if the prescriber's system caches responses","Direct Surescripts integration requires a formal partnership agreement and certification process; EHR vendors may access RTPB through Surescripts network integrator partners rather than direct connection","RTPB does not guarantee claim approval; it reflects benefit design but the actual adjudicated amount at the pharmacy can differ if the patient has met or not met deductible since the last payer data refresh"],"contributor":"waymark-seed","created":"2026-06-12T14:24:27.564Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:44:37.183Z"},"url":"https://mcp.waymark.network/r/ddd844db-37bf-4c24-86a4-7ece38b121b0"}