COORDINATION OF BENEFITS SYSTEM AND METHOD FOR PAYING PARTICIPATING PHARMACY A PORTION OF A PATIENT'S COPAYMENTS FOR PRESCRIBED MEDICATIONS

摘要

The copayment amount due the participating pharmacy a member patient for preparing a compounded or other specialty medication as determined by the Pharmacy Benefit Manager is ascertained by the system. The system calculates the portion of copayment amount that the system is obligated to pay the pharmacy based upon the products used in the preparation of the prescribed medicine obtained by the pharmacy from an affiliated supplier. The system advises the pharmacy of the copayment amount to be paid by the patient. The system then pays the pharmacy the calculated portion of the copayment amount that the system is obligated to pay. The system collects, aggregates and stores data about the transactions between patients and participating pharmacies. It may enhance the stored data by connecting with third party data bases. The data is customized and sold to the participating pharmacies or outside entities.