Method for competitive prescription drug and/or bidding service provider selection

• US 8,781,857 B2
• Filed: 12/31/2012
• Issued: 07/15/2014
• Est. Priority Date: 09/19/2003
• Status: Active Grant

• Current Assignee: The Tag Company US LLC
• Original Assignee: The Tag Company US LLC
• Inventors: Kalies, Ralph F. Jr.
• Primary Examiner(s): LAM, ELIZA ANNE
• Application Number:
  US13/731,650
• Publication Number:
  US 20130144649A1
• Time in Patent Office: 561 Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 30/02 Marketing; Price estimation or determination; Fundraising
• CPC Class Codes: G06Q 30/08 Auctions
• CPC Class Codes: G06Q 40/00 Finance; Insurance; Tax strategies; Processing of corporate or income taxes
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets

Abstract

Unfilled prescriptions are submitted to a registry comprising pre-qualified pharmacies for a “reverse auction” in which the pharmacies bid for the opportunity to fill the prescription. The pharmacies or a network of pharmacies on behalf of the pharmacies are allowed to bid based on price and/or offering ancillary services. The auction may also be used to bid on supplying specified pharmaceutical cognitive services. The method may also include obtaining cost comparisons with generic substitutes or similar alternative pharmaceutical products. The system may further comprise automatically requesting a review by the prescriber for a list of similar substitutes or prior-authorization for third-party payers. The winner of the reverse auction is selected by the customer.

Claims

1. A method for facilitating the delivery of prescription products or services using a processing unit programmed with a rules engine to facilitate the method, the method comprising the steps of:

using a database for storage and retrieval of information by the processing unit;

using a plurality of input/output devices for communication;

communicating, from a customer to the processing unit, unfilled prescription information and customer information, wherein the unfilled prescription was provided by a prescriber;

communicating, from the processing unit to the customer, cost information for both the unfilled prescription and for any similar products or services;

the customer comparing the cost information;

the customer selecting a prescription, the select prescription comprising the unfilled prescription or a select similar product or service;

communicating, from the customer to the processing unit, the select prescription;

the prescriber modifying the unfilled prescription as needed to conform to the select prescription;

communicating the modified unfilled prescription information from the processing unit to a plurality of pre-qualified prescription fulfillment providers;

conducting a reverse auction in which the pre-qualified prescription fulfillment providers may participate and communicate to the processing unit interactive and iterative bids to fill the modified unfilled prescription, each participating fulfillment provider receiving real-time feedback communications from the processing unit regarding the status and placement of their bids in comparison to other participating fulfillment providers, each participating fulfillment provider having the option of communicating to the processing unit amended bids that include at least one of new, lower prices and ancillary services in competition with the bids of other participating fulfillment providers to entice the customer to select their bid;

providing a results communication from the processing unit to the customer, the results communication including details of a final bid of each responding prescription fulfillment provider that made at least one bid to fill the modified unfilled prescription;

allowing the customer to select a bid by sending an instruction communication to the processing unit; and

checking to see if the fulfillment provider having the selected bid is capable of receiving electronic payment for the selected bid and, in the presence of such capability, providing the customer with a process for electronic payment of funds due for the selected bid,

the communications between the customer and the processing unit and the communications between the processing unit and the fulfillment providers being accomplished using input/output devices at each of the customer, processing unit and fulfillment providers.

2. The method of claim 1 wherein transactions relating to the electronic payment of funds due are handled by a business partner of the processing unit, the business partner coordinating information relating to the transactions with the processing unit, the customer, and the fulfillment provider having the selected bid.

3. The method of claim 2 wherein the business partner acts on behalf of a network of pharmacies.

4. The method of claim 2 wherein the business partner acts on behalf of an individual pharmacy.

5. The method of claim 2 wherein the processing unit additionally acts as a business partner.

6. The method of claim 2, further including the step of the business partner notifying the processing unit of a payment transaction by the customer for the selected bid, the processing unit recording the transaction.

7. The method of claim 6, further including the step of the processing unit providing the business partner with reservation information relating to the selected bid.

8. The method of claim 2 wherein the business partner provides the customer with a printable record of a completed payment transaction for the selected bid.

9. The method of claim 8 wherein the printable record is in the form of a prescription card.

10. The method of claim 9, further including the step of the customer presenting the prescription card to the fulfillment provider having the selected bid.

11. The method of claim 10, further including the step of the fulfillment provider having the selected bid adjudicating a claim relating to the prescription card.

12. The method of claim 11, further including the step of the business partner recording the claim as completed.

13. The method of claim 1, further including the step of the customer selecting the bid based upon the customer'"'"'s individual needs, wherein the customer'"'"'s individual needs include criteria other than the cost of the prescription.

14. A method for facilitating the delivery of prescription products or services using a processing unit programmed with a rules engine to facilitate the method, the method comprising the steps of:

using a database for storage and retrieval of information by the processing unit;

using a plurality of input/output devices for communication;

communicating, from a customer to the processing unit, unfilled prescription information and customer information, wherein the unfilled prescription was provided by a prescriber;

communicating, from the processing unit to the customer, cost information for both the unfilled prescription and for any similar products or services;

the customer comparing the cost information;

the customer selecting a prescription, the select prescription comprising the unfilled prescription or a select similar product or service;

communicating, from the customer to the processing unit, the select prescription comprising the prescriber modifying the unfilled prescription as needed to conform to the select prescription;

communicating the modified unfilled prescription information from the processing unit to a plurality of pre-qualified prescription fulfillment providers;

conducting a reverse auction in which the pre-qualified prescription fulfillment providers communicate to the processing unit interactive and iterative bids to fill the modified unfilled prescription, each fulfillment provider receiving real-time feedback communications from the processing unit regarding the status and placement of their bids in comparison to other fulfillment providers, each fulfillment provider having the option of communicating to the processing unit amended bids that include at least one of new, lower prices and ancillary services in competition with the bids of other fulfillment providers to entice the customer to select their bid;

providing a results communication from the processing unit to the customer, the results communication including details of the final bid of each responding prescription fulfillment provider that made at least one bid to fill the modified unfilled prescription; and

allowing the customer to select a winning bid by sending an instruction communication to the processing unit, the communications between the customer and the processing unit and the communications between the processing unit and the fulfillment providers being accomplished using input/output devices at each of the customer, processing unit and fulfillment providers.

15. The method of claim 14 wherein the cost information includes at least one of a price, availability of any discount coupons, a co-pay for any third-party payer benefits, and a final cost to the customer.