×

Systems and methods for alerting pharmacies of formulary alternatives

  • US 8,321,283 B2
  • Filed: 05/26/2006
  • Issued: 11/27/2012
  • Est. Priority Date: 05/27/2005
  • Status: Active Grant
First Claim
Patent Images

1. A method of alerting pharmacies of formulary alternatives, comprising:

  • receiving, by at least one computer processor of an intermediary server in communication with a pharmacy and a payer recipient, a claim generated by the pharmacy from a pharmacy practice management system, wherein the claim comprises at least one drug, wherein the claim is directed to the payer recipient, and wherein the claim is received by the payer recipient prior to forwarding by the intermediary server any formulary alternatives to the at least one drug;

    reviewing, by at least one computer processor, the claim to identify the at least one drug as a drug the payer recipient has preselected;

    comparing, by at least one computer processor, the at least one drug to a pre-established formulary alternative table established, at least in part, by the payer recipient, wherein the pre-established formulary alternative table comprises one or more preferred drug alternatives based at least in part on cost differences between the at least one drug and the one or more preferred drug alternatives; and

    forwarding a preferred drug alternative to the pharmacy practice management system when the at least one drug has a match in the pre-established formulary alternative table, wherein the preferred drug alternative is forwarded via an alert that can be responded to or bypassed by the pharmacy practice management system.

View all claims
  • 2 Assignments
Timeline View
Assignment View
    ×
    ×