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Clinical Services
HealthTrans' experienced staff of clinicians work closely with our clients to establish clinical guidelines appropriate for their members, and are available to work with physicians, pharmacists and payers alike to ensure patient safety is realized and cost effective therapy is achieved. Features include:
   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

A Healthier Approach to Pharmacy Benefits 800.950.9120

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