I’m never prepared well for my doctor’s appointment but my pharmacy benefit portal allows me to simply print my medication history and other personal health information to give to any doctor I’m scheduled to see.
Because I have a high deductible for my health insurance, I can find ways to save on my medication purchases. I just type the drug name and I get a listing of medication options based on my pharmacy benefit, with savings calculated for each drug.
(like … ‘fit in the palm of your hand’ kind of small)
Since we have members with Commercial, Medicare, and Medicaid benefits, we get to compare prescription utilization by line of business, by group account, and by member. We also get physician prescribing information as well as care management reports identifying patients at risk or who need adherence support.
I don’t understand why my doctor gives me a prescription for a drug that the pharmacy says needs prior approval from my insurance company. Don’t they realize I don’t have extra hours to hang around the drug store waiting for everyone to agree?
Because we have many different formularies across various lines of business, we need a centralized way of reviewing and changing formularies based on different pharmacy benefit coverage decisions and plan designs.
Rather than recovering less that 10 cents for every dollar spent on third party liability efforts, we’d rather avoid future managed Medicaid claims by auditing member eligibility everyday using their Medicaid pharmacy claims.
I have a high deductible insurance plan so I pay for my prescriptions. I need a way to see how much these drugs cost and if there are any other drug options for me at lower prices.