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At US Script, we approach pharmacy benefit management (PBM) proactively, with data-driven services that help our clients negotiate today’s health care environment economically. We act as an advocate for our clients with physicians and pharmacies, and we work to build long-term relationships with members through education programs that encourage informed prescription drug use.
Our company is built on a foundation of superior, caring, personalized customer service applied through hands-on management and interactive technology. It’s that critical balance of personal attention and sophisticated support technology that differentiates us from other pharmacy benefit management companies (PBMs). That balance, along with our flexibility in designing plans to your unique specifications, ensures extraordinary value for your pharmacy benefit dollar.
Other strengths of our program include:
- Point-of-sale claims adjudication in less than 7/10ths of a second after transmission from the pharmacy
- Flexibility in plan design through table-driven edits that allow you to mix and match your plan’s benefits
- A readily accessible nationwide pharmacy network of more than 55,000 pharmacies
- A customized interactive Internet web site for access to plan information and web-based reporting tools
- RX-Data decision support technology that transforms complex claims data into useful information
- Clinically driven benefits management
- Drug utilization reviews to ensure safe prescription use
- Patient-oriented disease state management (DSM) with long-term total-cost evaluation
- Step therapy to ensure appropriate use of drugs and other therapiess
- Prior authorizations that can be designed to be time dependent, drug dependent, patient dependent or physician dependent
- Annual deductibles and annual maximum benefits
- Sliding, percentage, or variable copays
- Coordination of benefits with other health plans
- Financial modeling that projects possible scenarios using historical data
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