Supporting specialty pharmacies
Connects 50,000+ pharmacies to over 1,000 payers, mitigating the need for specialty pharmacies to establish individual connections to each payer. The strength of the network helps specialty pharmacies automate key steps and tasks associated with dispensing specialty and chronic medications, which are typically high-touch, high-cost, so they can focus on the care coordination and skilled counseling associated with specialty therapy management.
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Average Wholesale Price (AWP) Resubmission Service helps pharmacies recover lost dollars on third-party transactions when the AWP has increased on claims that were paid using outdated information
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Excluded Prescriber Monitoring screens claims in real time so pharmacists can avoid adjudicating prescriptions written by providers that are excluded from participation in government-funded plans
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Prescriber Schedule Authority supports pharmacies by validating the DEA credentials of prescribers for controlled substance prescriptions. This helps pharmacies mitigate the risk of third-party audit losses and stay compliant with federal rules and regulations
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Audit Intervention Service generates in-workflow messaging to help identify opportunities to review quantity and days’ supply calculations on a prescription before submitting to third party payers
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Education provided by nurses to train patients and caregivers on therapy administration and management. This can also include in-home education and administration support.
Virtual and in-office behavioral coaching and education sessions for both patients and providers.
Offers transactional touchpoints scheduled
