PRESCRIPTION DRUG PRIOR AUTHORIZATION SYSTEM AND METHOD
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United States of America Patent
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app pub date -
Sep 11, 2012
filing date -
Jan 31, 2008
priority date (Note) -
Abandoned
status (Latency Note)
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Abstract
An online application for approving prior authorization requests for prescription drugs. The application is used by pharmacy benefits providers, physicians, and pharmacies to request prior authorizations for drugs and to receive approvals automatically if a requested drug meets authorization criteria. The online application is accessible through a group pharmacy benefits provider portal on a web site. Requests are processed through a pharmacy benefits manager computer that determines whether prior authorization is required and through a pharmacy benefits provider computer when the pharmacy benefits manager computer determines that prior authorization is required. Requests that meet certain authorization criteria are approved automatically. Requests that cannot be approved automatically are submitted for review by a clinical pharmacy review division that access requests through a drug request transaction computer.
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