Patent ID: 8635089
Filing Date: 2014-01-21
Classification: G06Q,G16H

Abstract:
1. A method of administering prescription drug benefits by a computer system that comprises at least one processor, at least one interface that is operatively coupled to at least one of the processors, and at least one memory that is operatively coupled to at least one of the processors, the method comprising: receiving via the at least one interface first medical information comprising a first medical record of a patient, the first medical record comprising a first lab result value for an analyte; receiving via the at least one interface formulary information that is associated with the patient and comprises a lab value-dependent rule and a first formulary, the first formulary comprising information about payment by a payer for one or more drugs and the lab value-dependent rule depending on a lab result value for the analyte; receiving via the at least one interface a request for formulary information, associated with the patient, about a drug that is specified in the request; in response to receiving the request, generating first responsive formulary information that comprises first information about payment by the payer for the drug specified in the request, by executing instructions stored in the memory to apply the lab value-dependent rule to the first lab result value and the first formulary; and transmitting the first responsive formulary information via the at least one interface.