Pharmacy Benefits Verification includes Einsten Generative AI to generate the pharmacy
benefits summary for reps. You can share this benefit summary with patients, prescribers, and
practitioners. The summary helps providers recommend appropriate assistance programs to
patients, and helps reps make informed decisions, such as enrolling patients in appropriate
assistance programs.
Required Editions
Available in: Lightning Experience
Available in: Enterprise and Unlimited Editions with Health Cloud
or Life Sciences Cloud, and Einstein GPT Platform and Einstein GPT Prompt Builder
Add-On licenses
User Permissions Needed
To generate pharmacy benefits summary
Context Service Admin permission set
AND
Context Service Runtime permission set
AND
Prompt Template Manager permission set
AND
Prompt Template User permission set
AND
Manage Pharmacy Benefits Verification permission set
Before you generate the pharmacy benefits summary, make sure the verification request is
initiated.
With Pharmacy Benefits Verification, reps can generate a concise summary of a patient’s
pharmacy benefits with a single click.
The summary includes the information related to the patient, insurance coverage, drug, and
pharmacy benefits. It also includes additional information, and the next steps that reps
must take in the patient’s pharmacy benefits verification journey. You can easily copy the
summary with a single click.
Important To customize the Generate Benefit Summary flow according to your business
needs, implement the TransposeContext interface.
From the App Launcher, find and select Care Program Enrollee.
Select a care program enrollee.
On the Pharmacy Benefits Verification tab, in the Benefits Summary section, click
Generate Summary.
Note The tab name can vary based on the admin setup of your Salesforce org.
The Generate Benefit Summary flow is launched.
To accept the disclaimer for Einstein AI usage, click Got It.
The benefits summary is generated.
Here’s a sample benefit summary.
To copy the benefits summary to the clipboard, click Copy. You can
share this summary with the patient, healthcare provider, or practitioner.
Warning This tool uses generative AI, which can produce inaccurate or harmful
responses. Before using, review the output for accuracy and safety. You assume responsibility
for how the outcomes of Einstein are applied to your organization.
We use three kinds of cookies on our websites: required, functional, and advertising. You can choose whether functional and advertising cookies apply. Click on the different cookie categories to find out more about each category and to change the default settings.
Privacy Statement
Required Cookies
Always Active
Required cookies are necessary for basic website functionality. Some examples include: session cookies needed to transmit the website, authentication cookies, and security cookies.
Functional Cookies
Functional cookies enhance functions, performance, and services on the website. Some examples include: cookies used to analyze site traffic, cookies used for market research, and cookies used to display advertising that is not directed to a particular individual.
Advertising Cookies
Advertising cookies track activity across websites in order to understand a viewer’s interests, and direct them specific marketing. Some examples include: cookies used for remarketing, or interest-based advertising.