SmithRx Partner Portal
Accessing the Partner Portal
The SmithRx Partner Portal makes accessing data, viewing reports, and member management easier for our partners.
Note: To view the information in another language, change your web browser's language preferences or use its built-in translation tool.
Registration
Registration is not required if you already have an existing account with us.
If you do not have an existing account, please reach out to your Account Manager (AM).
For first time users, look out for the partner portal invitation via email from hello@smithrx.com with the subject line 'Welcome to the New SmithRx Partner Portal' (Your invitation is valid for 7 days).
Create An Account
In your email, you will have an invitation from SmithRx.
If you don't see this email, please check your spam folder.
Your username will be your business/work email address.
Click ‘Create password’ to create a password.
Once you create an account with that password, moving forward, you can log in by going to partner.mysmithrx.com/login
Every time you log in, you will be prompted to provide a secure code. That will be sent to your email.
Home Page
The home page displays dashboards, your managed group(s), and the menu can be found on the right side of the screen.
What's on the homepage:
Top level navigation
Report Highlight
Shortcuts
Forms
SmithRx Resources
View resources including guides, clinical information, FAQs, and overviews for you, admins, and members.
Available Training Videos:
Connect 360 Overview
Connect 360 Programs (various)
Invoice Overview
SmithRx Blogs
These articles will be updated periodically to provide you with the most relevant news and updates.
Reports
Navigate to Reports, your gateway to self-service reporting. By default, all your groups are selected and the last year’s worth of data is summarized. You can change this with the filters at the top right. Customize your timeframe with date filters and download full or partial reports for easy sharing (e.g. quarterly business reporting).
Easily access key insights into your plan spend, rebates, Connect 360 savings, PMPM, and more.
*Filters vary based on data your group(s) have available (pending on your group start date).
Overview
Top menus allow you to navigate to PMPM reports, Connect savings, pass-through rebates and top plan pay drivers.
Per Member Per Month (PMPM)
You can see your PMPM by month over time gross vs net, connect savings impact, member and claim count over that time period, and divided out by component.
For any specific section of the PMPM report, you can set an alert to notify you based on given parameters - if a number drops below a certain threshold for example.
SmithRx Connect 360
Connect savings shows the realized savings by quarter, total ROI, and the top drugs by total connect savings and broken down by connect program. Top groups by savings are also displayed for the given groups selected and time period.
Connect Programs are now consolidated into 'Program Categories':
Access Plus Programs include the following programs: Access Plus + Med-Pharm Access Plus
Access Programs include the following programs: Access Traditional + Access Specialty + Access Specialty - Limited Distribution Drugs.
Autoimmune Programs include the following programs: Humira and Stelara Biosimilars.
Third Party Sourced Programs
Diabetes Programs include the following: Low-Cost Insulin + Diabetes Non-Insulin.
Partner Pharmacy Programs include Cost Plus Drugs + Multiple Sclerosis.
Pass-Through Rebates
Shows total issued rebates and projected rebates. Payments are issued quarterly 7 months following the end of the claim quarter (eg; Q4 2024 rebates will be issued on 07/31/25).
Top Plan Pay Drivers
Shows the top therapy areas by plan pay by total billed to plan and claim count.
Also displays the top drugs by plan cost.
Top Connect Cases
Shows the transitioned Connect cases by realized savings.
Shows in-progress Connect cases by annualized savings, which is a projection of potential savings a member will have if they continue to fill under connect for a 12 month period.
Claims
Investigate inquiries with our Claims Lookup tool. Here, you can search, view, and download claim details as needed.
Drug Coverage
Lookup the coverage of a specific drug based on Group and Plan.
Group & Plan Selection
Start by entering/selecting a group.
The Plans for a particular group will populate after a group has been selected.
Drug Coverage Search
Search for a particular drug and filter by pharmacy type and/or quantity.
Details Panel
All information about the drug expanded upon in detail section.
Coverage section
Coverage: If the drug is covered under the plan.
Copay: Member responsibility. This is not unique to a particular member but general for the drug and plan.
Cost section
Tier: What tier of coverage the drug falls under on the plan.
Payment Type
Copay/Coinsurance: A member will either be responsible for a flat fee (copay) or a percentage of the cost (coinsurance).
Amount section
Days Supply
Quantity Limit
Search by drug name
Filter by Member, Group, Status, time, or Reference number
Sort by date
Prior Authorization Status
Look up the status of a Prior Authorization case and its history
Search by Drug Name, Member Name or ID, or Reference Number using the dropdown menu
Filter by Member, Group, Status, time, or Reference number
Sort by date
Note - If a member is not registered for the SmithRx Member Portal, you will not be able to view their member notifications, such as the PA notification with the “Mimic Member” tool. Members are encouraged to create an account via https://member.mysmithrx.com/login/sign-up
Details Panel
View case history
Mimic member to go directly to their profile
| Prior Authorization (PA) Status | Definition |
|---|---|
| Canceled and Withdrawn by Requestor | The case review has been officially closed and recorded as withdrawn at the request of the initiating party. All subsequent actions related to this specific review are hereby discontinued. |
| Created | A case is created and PA review is in progress. |
| Request for Information Sent - Pending MD Response | A request for information has been sent to the provider. |
| MD Response Received - Pending Review | We are in the process of reviewing your request. It has been received, but no final decision has been made. |
| Approved | The requested drug is approved for coverage. The patient may contact the pharmacy to obtain the medication. |
| Denied | The request for this medication has been denied. This determination is based on either a lack of demonstrated medical necessity or the need for additional information before an approval decision can be made. |
| Partially Approved | Coverage for the requested drug has been partially approved. However, the approved amount is less than the amount requested. We require additional information to confirm that the requested amount is both medically necessary and safe for the member. |
| Canceled and Withdrawn by Requestor | The case review has been officially closed and recorded as withdrawn at the request of the initiating party. All subsequent actions related to this specific review are hereby discontinued. |
| Dismissed-Redirect to 9am Health *applies to groups using 9am Health as part of their weight management benefit | The request has been dismissed. The clinical review team has closed the request and the member needs to contact 9AM Health. |
| Dismissed-Drug Not Covered Under Pharmacy Benefit | The request for this drug has been closed. This is due to one of the following reasons: the drug is excluded from coverage, the member or provider is currently ineligible or inactive, or the request is for a buy and bill scenario. |
| Dismissed-Authorization On File | The request has been dismissed because the member already has an active prior authorization (PA) for this medication, and it is too early to submit a renewal. Notifications with the PA expiration date have been sent to the member and provider. |
| Dismissed | This may be because we have received a duplicate request or we reviewed the drug requested and recognized that this review is no longer needed. |
| Dismissed-PA Not Required | This request does not require clinical review. The member may contact the pharmacy to obtain the medication. |
| Dismissed-Incorrect Request Form | The request has been dismissed because the incorrect form was used. The request must be resubmitted using the mandatory California Prescription Drug Prior Authorization or Step Therapy Exception Request Form (also known as form 61-211). We cannot process the request without the utilization of this required form. |
| Dismissed-Peer to Peer Not Applicable | We are unable to offer a peer to peer for this request which may be because a previous peer to peer decision was reached for this member and drug within the past 180 days. The request for a peer-to-peer discussion has been dismissed. |
| Dismissed-Refill Too Soon | This prescription refill request is unable to be processed at this time. Our records indicate the patient recently filled this prescription, and based on the original dosing schedule, more than 25% of the medication should still remain. |
| Dismissed-Unable to reach provider for Peer to Peer | Despite multiple attempts to set up a peer-to-peer discussion, we did not receive a response from the provider. Therefore, this request was closed. |
Connect Status
Here, you can search and view details and history for your Connect cases.
Connect Case Status Definitions:
New - Case created. Case will be assigned to a patient access specialist and status will be updated appropriately.
In progress - Case has been started. We may be trying to reach the member, or waiting for the prescription to be sent to the pharmacy.
Auth Forms Sent - request sent to member to complete docusign for authorization to enroll into the Access Plus or Third Party Sourcing Pathways.
Additional Info Required - request for additional documentation from the member or other party outside of the provider.
Need Member Response - We are waiting for a specific member response. This is either the docusign authorization from the member or other requested documentation.
Need MD Response - We are waiting on information from the provider.
Under Review - Pertinent to the Access Plus Program. We have submitted the application for review with the manufacturer. We may reach out to the member to initiate a group call for a status update.
On Hold: No contact info - The case is on hold because we need contact information (member phone number and email) to start the enrollment process.
Closed - This case status contains the following categories
Closed - Denied Financial - The member was not eligible for the program for financial reasons
Closed - Denied Program - The member was not eligible for the program for non-financial reasons
Closed - No Longer Needed - the member is no longer needing the medication through this program
Closed - Program no longer available - the drug is no longer able to be part of our program
Closed by Member - This case status contains the following categories
Closed - No Contact Info - Case was open with no contact information for 30 or more days and as such was closed for no contact information.
Closed - Member Uncooperative - Throughout the enrollment the member was not cooperative with the process.
Closed - Not Interested - Member detailed that they were not interested in the program.
Closed - No Response -We have conducted all outreach attempts possible
Closed - Transitioned - The case was closed after successfully transitioning the member into the specific program.
Member Management
View Member details with the Member Management tool. Here, you can search, view, and mimic members.
To begin your search, use the dropdown in the search bar to choose how you want to look up the member.
To narrow your search further, click on the icon on the right side of the search bar to open a module where you can add more filters.
You can also add a member using the button in the top right corner. Please note that this change may be overridden by the next eligibility file ingestion. Eligibility files must be updated to ensure a permanent change.
Member Detail View
Deductible is included, and grayed out if the member does not have a deductible.
Out of pocket max can be expanded to view more details.
Print member card uses your computer’s print capabilities.
Use the left-hand arrows to expand the member details, family member info, account info, and Coordination of Benefits (COB).
If the account info is not populated, it means the member has not set up their account.
If COB info is not populated, it means the member does not have COB.
Claims and Eligibility History show just for that particular member or family member.
Group and Plan info can be found in Eligibility history.
Important Links
Find My Meds links directly to the member’s Find my meds using the mimic functionality.
Member Formulary links to the Formulary for the member’s group and plan.
Drug Cost and Copays links to the new Drug Cost feature, with the member’s group and plan already selected.
Group Management
View Group details with the Group Management tool. Here, you can search and view details for all your groups.
Search for Groups
Sort by Status
Group Details
View Group details including effective and termination dates.
View departments and plans and search by name.
View Formulary for each Group & Plan.
Clicking on the plan takes you to Plan Details, where you can see all your plan selections.
Important Links
Find My Meds links directly to the member’s Find my meds using the mimic functionality.
Member Formulary links to the Formulary for the member’s group and plan.
Drug Cost and Copays links to the new Drug Cost feature, with the member’s group and plan already selected.
View Members goes to Member Management, with the group pre-selected.
Troubleshooting
Account Locks
On the fifth invalid login attempt within five hours, your account will be locked for five hours. We recommend a password reset after the lock is lifted.
Password Reset
Please follow these steps to reset your password. If you still cannot reset your password, it’s possible that you may have not fully registered and will need to complete Step 2 from the previous section.
Forgot Password
Go to partner.mysmithrx.com/login
Click 'Forgot Password' on the 'Enter Your Password' page.
Please then enter your: Registered email, Date of Birth, and Member ID.
Reset Password - After clicking "Reset Password", you will receive an email with a link to reset your password.
Support
If you experience issues or have feedback to share, please email portalfeedback@smithrx.com and cc your designated Account Manager.
