Formulary design and management
-designing cost effective preferred drug lists or
exclusions, to meet the needs of both the patient
population and the payer
Disease state management -
providing drug and disease information designed
to empower and better educate patients about their
medications and disease, in an effort to ultimately
lower overall benefit costs
Clinical decision support
- the ability to combine prescription and medical
data and offer a powerful reporting package
Drug utilization review -
monitoring drug usage and evaluating other anomalies
Patient education - assisting
with utilization compliance and better patient
outcomes by targeting members that could benefit
from clinical education
Medication compliance programs
- providing rules which flag noncompliance, and
follow-up procedures to ensure utilization is
consistent, enhancing patient outcomes and lowering
overall benefit costs
P&T committee support - ensuring
clinical programs meet rigorous P&T committee
standards
Clinical TheranomicsSM - HealthTrans'
process for evaluating the clinical economic value
of drugs. The program is designed to optimize
the overall value of the Rx benefit
Physician education/target drug
programs - Useful drug cost information to
enhance the physician prescribing process
Patient/provider profiling
- review of prescribing trends identifying possible
fraud and or abuse
Therapeutic class review and monograph
development - Reviews are performed on a regular
basis to incorporate significant changes, such
as a new drug, and how they effect the market.
When a new drug comes to market a detailed drug
monograph is developed
Therapeutic protocol development
- clinically sound protocols designed to enhance
outcomes with the most cost effective therapy
Pipeline analysis - Prior
to FDA approval, HealthTrans reviews the drug's
potential impact on cost and therapy choices