Method for providing a consumer with information regarding commercial prescription availability and cost

• US 20070250341A1
• Filed: 04/20/2006
• Published: 10/25/2007
• Est. Priority Date: 04/20/2006
• Status: Abandoned Application

• Current Assignee: Medimpact Healthcare Systems Incorporated
• Original Assignee: Medimpact Healthcare Systems Incorporated
• Inventors: Howe, Frederick, Tauber, John, Brown, Dale
• Application Number:
  US11/408,823
• Publication Number:
  US 20070250341A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 30/02 Marketing; Price estimation or determination; Fundraising

Abstract

A method is disclosed whereby consumers enrolled in subscribing prescription benefit plans can easily obtain information over the Internet regarding costs and availability of their prescription medications at local and mail-order participating pharmacies of their choice, based on the prescription benefit plans of which they are members. Data on medication dosages, quantities and net costs at a plurality of pharmacies are compiled by the method and presented on-line so that each member of a plan can select the combination of cost and convenience for prescription fulfillment that he or she prefers. The method then allows the user to select prescription fulfillment directly from the selected pharmacy on-line. Other information,.such as general medical, medication and health information can also be made available. Patients, pharmacies, PBMs and plan payers all benefit.

Claims

1. A method for providing choice-enhancing prescription medication cost and availability information to prescription medication patients, which method comprises:

providing a database on an electronic network, which database comprises dosage and form data on a plurality of therapeutically or clinically equivalent medications and price and location data on a plurality of pharmacies dispensing said medications;

compiling in conjunction with said database payment benefit data from at least one prescription benefit plan subscribing to said database, said payment benefit data comprising a payment amount said payment benefit plan will pay to said pharmacies on behalf of a member of said payment benefit plan for said medication when said medication is dispensed by a said pharmacy to said member in accordance with a prescription written for said member;

permitting an individual member of said prescription benefit plan access to said database and enabling said member to enter personal location, medical and prescription information into a personal medical history in conjunction with said database; and

upon accessing of said database by said member, correlating said database data with said payment benefit data and said medical history into a location-, plan- and medication-specific compilation of prescription cost and availability information and presenting said compilation via said electronic network to said member;

whereby said member is informed of a plurality of therapeutically or clinically equivalent medication choices and pharmacies conveniently located to said member or available to said member by mail, which dispense said medication for which said member has a prescription, and is also informed of the net cost of said medication to said member at each said pharmacy under said member'"'"'s prescription benefit plan, such that said member'"'"'s ability to freely select which pharmacy to patronize based on said member'"'"'s personal criteria is enhanced.

2. A method as in claim 1 further comprising means for said member to specific method of net payment for said medication and an order for said medication to be transmitted to said pharmacy for fulfillment.

3. A method as in claim 2 further comprising means for acknowledgement of said order to be communicated to said member.

4. A method as in claim 2 further comprising means for communication to said member of a schedule for fulfillment of said order and a manner in which said filled order may be provided to said member.

5. A method as in claim 1 further comprising means for communicating to said member real time data showing cumulative value of prior prescription benefits obtained and cumulative prior net payments made.

6. A method as in claim 1 wherein said database further comprises data regarding at least one combination of medications and adverse reactions or contraindications which a user may experience or cautions which said user should observe if said combination of medications is taken.

7. A method as in claim 1 wherein said database further comprises data generally describing properties, symptoms or physiological effects of individual medications, diseases or health conditions.

8. A method as in claim 1 wherein said that portion of said database which comprises medical, health and medication data not identified by financial elements, prescription benefit plan or personal user data is made available via said electronic network to persons generally and not limited solely to access by said prescription benefit plan members.

9. A method as in claim 1 further comprising means for compiling system usage and pharmacy selection data in form from which subscribing prescription benefit plans and pharmacies may analyze system performance and user utilization patterns, whereby any such prescription benefit plan or pharmacy may assess its own operations in relation to its participation in said method.

10. A method as in claim 1 further incorporating location-specific data on hospital services, which data are relevant to users'"'"' selection of hospital care.

11. A method as in claim 10 wherein said data include information on treatment outcome, costs and medication safety.