Providers can access real-time, patient-specific prescription drug benefit information at the point of care. It is part of the e-prescribing process, and is located within a provider’s electronic medical record (EMR) system.


This functionality helps providers determine prescription coverage quicker by sharing information about patient drug cost, formulary, and coverage alerts such as prior authorization to sending a prescription to the pharmacy. This information can help providers proactively identify barriers to medication compliance. For example, if a medication is too costly for the member, alternatives can be discussed prior to the patient leaving the provider’s office.


Providers can find the following patient-specific prescription benefit information with their EMR:

  • Formulary status of selected medication
  • Pricing of medication at a retail and mail order pharmacy
  • Formulary alternatives
  • Coverage alerts, including prior authorization and step therapy


Providers should contact their IT department or EMR system with questions regarding access to real-time prescription drug benefit functionality. Upgrades to EMR software may be required.


Featured In:
October 2018 Anthem Kentucky Provider Newsletter