Access patient-specific drug benefit information through EMR

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.