Services for Payers and Pharmacy Benefits Managers (PBMs)

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A recent Gorman Health Group study indicated that approximately 70 percent of the safety and savings advantages of e-prescribing result from prescribers being given access to patient medication histories, safety alerts, preferred medication options, and pharmacy benefit information at the time of prescribing so that they can make more informed prescribing decisions for their patients.

Additionally, a study funded by HHS’ Agency for Healthcare Research and Quality found that e-prescribing systems with formulary decision support that allow prescribers to select lower cost or generic medications can save $845,000 per 100,000 patients and could reduce prescription drug spending by up to $3.9 million per 100,000 patients per year*.

Surescripts certifies PBM and payer systems for the following services:

Prescription Benefit:
Allows payers and PBMs to respond to requests for eligibility and formulary from prescribers using certified software.
 
Prescription History: Allows payers and PBMs to respond to requests for medication claims history from prescribers using certified software.
 
Prescription Routing: Allows mail order pharmacies to process new prescriptions and prescription renewals from prescribers using certified software
       New Prescriptions
       Prescription Renewals

This enhances the advantages of electronic prescribing through:

       Improved formulary compliance
       More efficient generic/therapeutic interchange
       Reduced administrative time and costs

Click here to learn more about getting certified.

* Effect of Electronic Prescribing With Formulary Decision Support on Medication Use and Cost, December 9, 2008. Michael A. Fischer, MD, MS; Christine Vogeli, PhD, Margaret Stedman, MPH; Timothy Ferris, MD, MPH; M. Alan Brrokhard, PhD; Joel S. Weissman, PhD. http://www.ahrq.gov/news/press/pr2008/eprescribpr.htm