Patent ID: 7711583

Claim:
A method for routing a pharmaceutical prescription to a therapeutic pharmacy within a network of therapeutic pharmacies, wherein the method is suitable for selecting a therapeutic pharmacy for filling the prescription based upon patient medical records and prescription claims, comprising the steps of: a. receiving a pharmaceutical prescription for a patient at an intake computer system configured to receive prescriptions electronically for one or more diseases, and wherein computer system resolves protocol, performs drug utilization review for the subsequent filling and dispensing prescriptions for one or more diseases; b. retrieving medical records and prescription claims for the patient from an information warehouse containing patient prescription claims and medical records; c. analyzing the medical records and prescription claims to stratify the patient into a disease category using the computer system, wherein the computer system electronically analyzes the prescription claims and the medical records, and classifies the patient into a disease state; d. assigning a score to the patient based on a degree of wellness, using a clinical score system; e. electronically communicating with a communication network of therapeutic pharmacies, wherein each therapeutic pharmacy communicating with the network is associated with a wellness category; f. classifying the pharmaceutical prescription to the wellness category, for routing the pharmaceutical prescription to a therapeutic pharmacy within the network of therapeutic pharmacies based on the wellness category using a patient record system, wherein the patient record system electronically uses the stratification and the score information and a rules-based system comprising patient health insurance and formulary information to classify and route the pharmaceutical prescription; g. electronically routing the prescription, responsive to the patient stratification, the clinical score, and the coverage rules from the patient record system, and wherein said routing utilizes a workflow and load-balancing system to route the prescription based on the patient stratification, the score information, the coverage rules, and the classifying to the pharmacy for filling and dispensing the pharmaceutical prescription to the patient.