Real-Time Pharmacy Benefit Check
Informed understand of medical prescription choices, out-of-pocket cost, requirements & restrictions with Real-Time Pharmacy Benefit Check (RTPBC)
Make the Right Prescription Choice
Discover a better way to select medicine and treatment with informed decisions at the time you first receive the prescription
Problem
There is No Online or Digital real-time Access for Patients at the time of their Physician visit and No clear Understanding of Patient’s available drug an pricing options:
• Cost of medication is Unknown:
Insurance Coverage Portion
Vs.
Out-of-Pocket Expense
• Unavailable — Prescription variation and Alternative Options (including brand name vs. generic)
• Unknown — Alternative Pharmacy Options or Pricing Discounts
• Missed Opportunity for Patients to make informed decisions
• There is No Patient Insight or Knowledge for approval or denial
• Up-in-the-Air — It takes days, weeks or longer to receive decision (If Ever...!)
• Dangerous Delays — for Acute, Chronic and Complex Conditions
• Financial and Administrative Burden — Costly Provider and Payer misalignment
Solution
• Convenient at the Time of the Prescription — Patients can leverage consumer apps that support RTPBC request to the payer
• Consumer Apps found on MyHealthApplication gather prescription information, patient Insurance coverage, and preferred pharmacy to submit to Insurer via HL7 FHIR®
• Application presents and interprets the cost of coverage, requirements or restrictions, possible Discounts/Coupons/Memberships, alternative Pharmacy Options, mail Services, alternative medication options
Benefits
At the time of the visit, Patients have immediate access to prescription information:
• Patients can discuss ALL Available Options directly with Physicians
• Patients make Informed Choices on all their Prescription Options
• Choose between paying Cash or using insurance Deductible
• Physicians submit order to the chosen Pharmacy
• Patients can Rest knowing they made the Appropriate Decision for their Care and Budget