Ensure compliance with clinical standards of care using appropriate drug compendia, national guidelines and emerging pharmacological data.
Review new drugs, therapeutic classes, clinical indications, therapeutic advantages and safety information.
Evaluate outcomes from member prescription change requests and analyze prescriber acceptance/denial rates.
Ensure compliance with clinical standards of care using appropriate drug compendia, national guidelines and emerging pharmacological data.
Review new drugs, therapeutic classes, clinical indications, therapeutic advantages and safety information.
Evaluate outcomes from member prescription change requests and analyze prescriber acceptance/denial rates.
Show only suggestions with equivalent efficacy or recommended alternatives.
Limit the risk of member confusion when mapping products with multiple alternatives while also aligning with reasonable standards of care.
What is more likely to increase a member’s adherence—cost or convenience? We show options that check the box for both to help members stay on track with prescribed treatments.
In general, we will suggest any existing clinically appropriate alternative, giving preference to more commonly utilized cost-effective options.