System and method for dispersing medications using a single point replenishment

• US 8,370,173 B2
• Filed: 05/08/2008
• Issued: 02/05/2013
• Est. Priority Date: 05/08/2008
• Status: Active Grant

• Current Assignee: Wellpartner, Inc. (CVS Health Corporation)
• Original Assignee: Wellpartner, Inc. (CVS Health Corporation)
• Inventors: Hardaway, Jason Michael
• Primary Examiner(s): NGUYEN, HIEP VAN
• Application Number:
  US12/117,447
• Publication Number:
  US 20090281823A1
• Time in Patent Office: 1,734 Days
• Field of Search: 705/2
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/087 Inventory or stock management, e.g. order filling, procurement or balancing against orders
• CPC Class Codes: G16H 20/13 delivered from dispensers
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A computer system and methods manages dispensing and replenishment of medications by a Contract Pharmacy for a Covered Entity. Participating Contract Pharmacies are associated with a Covered Entity, and each medication unit is associated with a code that corresponds to medication units dispersed by the Contract Pharmacies. The amount of medication units corresponding to the code and dispersed by the Contract Pharmacies is tracked. When the amount of medication units dispensed across the Contract Pharmacies to patients of the Covered Entity reaches a replenishment threshold, replacement medication units are ordered to replace inventory loaned by the Contract Pharmacies to the Covered Entity at the Covered Entity'"'"'s available drug discount purchase price.

Claims

1. A computer system to manage replenishment of medications loaned to a covered entity by a plurality of independent contract pharmacies providing services to patients of the covered entity,

the plurality of independent contract pharmacies dispensing medication units from a common inventory to,

patients who do not qualify to receive discounted medication units under the regulatory scheme of the covered entity, and

covered patients of the covered entity who qualify to receive discounted medication units under the regulatory scheme of the covered entity, wherein medication units dispensed to the covered patients are to be replenished by the covered entity, and wherein the dispensed medication units are associated with a national drug code (“

NDC”

);

wherein the covered entity is entitled to purchase discounted medication for covered patients under a regulatory scheme, and wherein the independent contract pharmacies are not entitled to purchase discounted medication units under the regulatory scheme, the system comprising;

a central managing service in communication with each of the independent contract pharmacies, comprising;

a processor;

an output device in electrical communication with the processor; and

a monitoring module component operating on the processor to perform the method of,

identifying an amount of medication units of the NDC dispensed from a respective common inventory by each of the plurality of independent contract pharmacies to covered patients of the covered entity, wherein the covered entity is to replenish the identified medication units;

calculating a combined amount of medication units of the NDC dispensed across the plurality of independent contract pharmacies by summing together the amount of medication units of the NDC dispensed to the covered patients by each of the plurality of independent contract pharmacies, wherein the combined amount of medication units is to be replenished by the covered entity;

determining when the combined amount of medication units reaches a replenishment threshold, wherein the replenishment threshold is based on the NDC of the identified medication units; and

upon the combined amount reaching the replenishment threshold, replenishing the identified medication units by,

purchasing a discounted replacement container of medication units corresponding to the NDC under the regulatory scheme of the covered entity, the replacement container comprising medication units to replenish the combined amount of identified medication units dispensed to covered patients across the plurality of independent contract pharmacies, and

transferring ownership of the replacement container to the independent contract pharmacies.

2. The system of claim 1, wherein the monitoring module component identifies the medication units dispensed by the independent contract pharmacies using the NDC.

3. The system of claim 2, wherein the NDC identifies a type of medication and a quantity of medication units in a container.

4. The system of claim 1, wherein the method performed by the monitoring module component further comprises:

upon reaching the replenishment threshold, instructing the output device to provide notification to a user.

5. The system of claim 1, wherein the independent contract pharmacies have a business relationship with each other.

6. The system of claim 1, wherein the covered entity is eligible to purchase reduced cost medication under a statutorily defined program to thereby enable purchase of the discounted replacement container at a reduced cost directly from a manufacturer, and wherein the independent contract pharmacies are not eligible to purchase the discounted replacement container at the reduced cost under the statutorily defined program.

7. The system of claim 1, wherein identifying medication units of the NDC dispensed to covered patients includes reading bar codes corresponding to dispensed medication units.

8. The system of claim 7, wherein identifying medication units of the NDC dispensed to covered patients includes communicating with the independent contract pharmacies over a network.

9. A computer readable storage medium, having stored thereon computer readable instruction code for performing a method to replenish medications loaned to a covered entity by a plurality of independent contract pharmacies providing services to patients of the covered entity, wherein each of the independent contract pharmacies dispense medication units from a common inventory to,

patients who do not qualify to receive discounted medication units under the regulatory scheme of the covered entity, and

covered patients of the covered entity who qualify to receive discounted medication units under the regulatory scheme of the covered entity, wherein medication units dispensed to the covered patients are to be replenished by the covered entity, and

wherein the dispensed medication units are associated with a national drug code (“

NDC”

);

wherein the covered entity is entitled to purchase discounted medication for covered patients under a regulatory scheme, wherein the independent contract pharmacies are not entitled to purchase discounted medication units under the regulatory scheme, the method comprising;

identifying an amount of medication units of the NDC dispensed from a respective common inventory by each of the plurality of independent contract pharmacies to covered patients of the covered entity, wherein the covered entity is to replenish the identified medication units;

calculating a combined amount of medication units of the NDC dispensed across the plurality of independent contract pharmacies by summing together the amount of medication units of the NDC dispensed to the covered patients by each of the plurality of independent contract pharmacies, wherein the combined amount of medication units is to be replenished by the covered entity;

determining when the combined amount of medication units reaches a replenishment threshold, wherein the replenishment threshold is based on the NDC of the identified medication units; and

upon the combined amount reaching the replenishment threshold, replenishing the identified medication units by,

purchasing a discounted replacement container of medication units corresponding to the NDC under the regulatory scheme of the covered entity, the replacement container comprising medication units to replenish the combined amount of identified medication units dispensed to covered patients across the plurality of independent contract pharmacies, and

transferring ownership of the replacement container to the independent contract pharmacies.

10. The computer readable storage medium of claim 9, wherein the medication units dispensed to the covered patients by the independent contract pharmacies are identified using the NDC.

11. The computer readable storage medium of claim 10, wherein the NDC identifies a type of medication and a quantity of medication units in a container.

12. The computer readable storage medium of claim 9, wherein the method further comprises:

upon reaching the replenishment threshold, providing notification to a user.

13. The computer readable storage medium of claim 9, wherein the independent contract pharmacies have a business relationship with each other.

14. The computer readable storage medium of claim 9, wherein the covered entity is eligible to purchase reduced cost medication under a statutorily defined program to thereby enable purchase of the discounted replacement container at a reduced cost directly from a manufacturer, and wherein the independent contract pharmacies are not eligible to purchase the discounted replacement container at the reduced cost under the statutorily defined program.

15. The computer readable storage medium of claim 9, wherein identifying medication units of the NDC dispensed to covered patients includes reading bar codes corresponding to dispensed medication units.

16. The computer readable storage medium of claim 15, wherein identifying medication units of the NDC dispensed to covered patients includes communicating with the independent contract pharmacies over a network.

17. A method of managing replenishment of medications loaned to a covered entity by a plurality of independent contract pharmacies providing services to patients of the covered entity, wherein each of the independent contract pharmacies dispense medication units from a common inventory to,

patients who do not qualify to receive discounted medication units under the regulatory scheme of the covered entity, and

covered patients of the covered entity who qualify to receive discounted medication units under the regulatory scheme of the covered entity, wherein medication units dispensed to the covered patients are to be replenished by the covered entity, and wherein the dispensed medication units are associated with a national drug code (“

NDC”

);

wherein the covered entity is entitled to purchase discounted medication for covered patients under a regulatory scheme, wherein the independent contract pharmacies are not entitled to purchase discounted medication units under the regulatory scheme, the method comprising;

identifying, by a computing device, an amount of medication units of the NDC dispensed from a respective common inventory by each of the plurality of independent contract pharmacies to covered patients of the covered entity, wherein the covered entity is to replenish the identified medication units;

calculating a combined amount of medication units of the NDC dispensed across the plurality of independent contract pharmacies by summing together the amount of medication units of the NDC dispensed to the covered patients by each of the plurality of independent contract pharmacies, wherein the combined amount of medication units is to be replenished by the covered entity;

determining, by the computing device, when the combined amount of medication units reaches a replenishment threshold, wherein the replenishment threshold is based on the NDC of the identified medication units; and

upon the combined amount reaching the replenishment threshold, replenishing the identified medication units by,

purchasing a discounted replacement container of medication units corresponding to the NDC under the regulatory scheme of the covered entity, the replacement container comprising medication units to replenish the combined amount of identified medication units dispensed to covered patients across the plurality of independent contract pharmacies, and

transferring ownership of the replacement container to the independent contract pharmacies.

18. The method of claim 17, wherein identifying comprises identifying the medication units dispensed by the independent contract pharmacies using the NDC.

19. The method of claim 18, wherein the NDC identifies a type of medication and a quantity of medication units in a container.

20. The method of claim 17, further comprising:

upon reaching the replenishment threshold, providing notification to a user.

21. The method of claim 17, wherein the independent contract pharmacies have a business relationship with each other.

22. The method of claim 17, wherein the covered entity is eligible to purchase reduced cost medication under a statutorily defined program to thereby enable purchase of the discounted replacement container at a reduced cost directly from a manufacturer, and wherein the independent contract pharmacies are not eligible to purchase the discounted replacement container at the reduced cost under the statutorily defined program.

23. The method of claim 17, wherein identifying medication units of the NDC dispensed to covered patients includes reading bar codes corresponding to dispensed medication units.

24. The method of claim 23, wherein identifying medication units of the NDC dispensed to covered patients includes communicating with the independent contract pharmacies over a network.

25. A method of managing replenishment of medications loaned to a covered entity by a plurality of independent contract pharmacies providing services to patients of the covered entity, the method comprising:

providing, by a computing device, for each of the plurality of independent contract pharmacies dispensing medication units from a common inventory to

patients who do not qualify to receive discounted medication units under the regulatory scheme of the covered entity, and

covered patients of the covered entity who qualify to receive discounted medication units under the regulatory scheme of the covered entity, wherein medication units dispensed to the covered patients are to be replenished by the covered entity, and wherein the dispensed medication units are associated with a national drug code (“

NDC”

);

wherein the covered entity is entitled to purchase discounted medication for covered patients under a regulatory scheme, and wherein the independent contract pharmacies are not entitled to purchase discounted medication units under the regulatory scheme;

identifying, by a computing device, an amount of medication units of the NDC dispensed from a respective common inventory by each of the plurality of independent contract pharmacies to covered patients of the covered entity, wherein the covered entity is to replenish the identified medication units;

calculating a combined amount of medication units of the NDC dispensed across the plurality of independent contract pharmacies by summing together the amount of medication units of the NDC dispensed to the covered patients by each of the plurality of independent contract pharmacies, wherein the combined amount of medication units is to be replenished by the covered entity;

determining, by the computing device, when the combined amount of medication units of the NDC reaches a replenishment threshold, wherein the replenishment threshold is based on the NDC of the identified medication units; and

upon reaching the replenishment threshold, replenishing the identified medication units by,

providing a payment from the covered entity to a manufacturer for a discounted replacement container of medication units corresponding to the NDC under the regulatory scheme of the covered entity, the replacement container comprising medication units to replenish the combined amount of identified medication units dispensed to covered patients across the plurality of independent contract pharmacies, and

providing for the manufacturer shipping the replacement container directly to one of the plurality of independent contract pharmacies.