Prescription data exchange system
First Claim
1. A prescription data exchange system for electronically communicating information between subscribers including prescribers, pharmacies, and pharmacy benefit management services, the system comprising:
- an interconnection module electronically coupled to all the subscribers;
an information exchange hub electronically coupled to the interconnection module and including a processor having a session manager, which translates at least part of communications from the subscribers into a common data protocol.
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Accused Products
Abstract
An exchange hub having electronic connections to subscribers including prescribers, pharmacies and pharmacy benefit management services (PBMs) for the purpose of exchanging relevant pharmaceutical data is disclosed. The, exchange hub allows each of its subscribers to send communications that may include request and response transactions, an end point to end point message, or an upload of a data file. The communications may be opaque to the exchange hub or the contents may be modified for additional value. The communications may include a request for eligibility of benefits for a particular patients which will return an aggregation of all PBMs for which that patient is eligible. Additional patient information such as formularies or medication history may be requested. The exchange hub also may route prescription information between the prescriber and pharmacies. The information may include new prescriptions, request for renewals, request for change of a prescription, cancellation and the fill status of a prescription.
148 Citations
42 Claims
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1. A prescription data exchange system for electronically communicating information between subscribers including prescribers, pharmacies, and pharmacy benefit management services, the system comprising:
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an interconnection module electronically coupled to all the subscribers;
an information exchange hub electronically coupled to the interconnection module and including a processor having a session manager, which translates at least part of communications from the subscribers into a common data protocol. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
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24. A prescription data exchange system for communicating prescription information between subscribers to the system, the system comprising:
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interface software used by the subscriber for making a prescription data request for a patient;
a pharmacy benefit management service having a computer system which manages data relating to the patient in a first data format and creates a response to the prescription data request;
an information exchange hub electronically coupled to the interface software and the computer system of the pharmacy benefit management service, the information exchange hub including a processor having a session manager which translates requests from the interface software into a common data protocol and wherein the responses from the pharmacy benefit management service are translated into the common data protocol. - View Dependent Claims (25, 26, 27, 28, 29, 30, 31, 32, 33)
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34. A method of exchanging data between prescribers, pharmacies and pharmacy benefit management services, each having secure data inaccessible from unauthorized access, the method comprising:
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electronically coupling the prescribers, pharmacies and pharmacy benefit management services to an information exchange hub;
sending a request for data to the information exchange hub;
converting the request to a common data exchange format;
routing the request to at least one of the members of the pharmacy benefit management services group;
obtaining a response in a data format readable by the pharmacy benefit management service;
converting the data response to the common data format;
routing the response to the requester. - View Dependent Claims (35, 36, 37, 38, 39, 40, 41, 42)
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Specification