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Method for Comparing Prescription Drug Formularies

  • US 20080183492A1
  • Filed: 01/25/2007
  • Published: 07/31/2008
  • Est. Priority Date: 01/25/2007
  • Status: Abandoned Application
First Claim
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1. A method of quantitatively evaluating formulary schedules comprising:

  • determining a client'"'"'s utilization data for at least a portion of a client'"'"'s drug spend, the client utilization data including a total number of prescriptions filled per drug under a first formulary schedule;

    determining a pharmacy benefits manager'"'"'s book of business utilization data for a plurality of drugs from the client'"'"'s drug spend, the book of business utilization data including the total number of prescriptions filled per drug that the pharmacy benefits manager receives from a plurality of clients, the total number of prescriptions filled according to a second formulary schedule;

    determining a client utilization difference pattern between the client'"'"'s utilization data and the pharmacy benefits manager'"'"'s book of business utilization data for the plurality of drugs from the client'"'"'s drug spend; and

    determining, from the client utilization difference pattern, a projected total cost for the client under the second formulary schedule;

    wherein, between the first and second formulary schedule, the client utilization difference pattern includes a drug cost difference and a member cost difference for the plurality of drugs.

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