Patent ID: 8346570
Filing Date: 2013-01-01
Classification: G06Q,G16H

Abstract:
1. A method of using a computer to provide consistent drug pricing and medication prescription review for a plurality of pharmacies within a pharmacy network that have a contractual relationship with a managed care organization, the method comprising the steps of: transmitting a first medication prescription order over a communication network by a healthcare facility computer to a first pharmacy computer of a first of the plurality of pharmacies, wherein the healthcare facility is affiliated with a managed care organization (“MCO”); transmitting a second medication prescription order over the communication network by the healthcare facility computer to a second pharmacy computer of a second of the plurality of pharmacies; transmitting a first claim relating to the first medication prescription order over the communication network by the first pharmacy computer to a processing center computer of a prescription benefits manager contracted with the MCO; transmitting a second claim relating to the second medication prescription order over the communication network by the second pharmacy computer to the processing center computer; reviewing the first and second claims by the processing center computer according to predetermined claim review criteria for the drug pricing and the respective medication prescriptions; if either of the claims conform to the predetermined claim review criteria: otherwise: aggregating by the processing center computer a plurality of approved claims for each of the filled respective prescriptions, wherein the plurality of approved claims are aggregated for the healthcare facility; and transmitting an invoice for the aggregated claims over the computer network by the processing center computer to the healthcare facility computer.