Fact Based List:

Health Plan Pharmacy Data and Tools Available on the Web

Submitted by Clive Riddle on Wed, 05/25/2011 - 15:01


  1. Member formulary - 100%
  2. Formulary search by brand drug name or generic equivalent - 98%
  3. Generic equivalent for branded products - 98%
  4. Drug's primary labeled purpose - 97%
  5. Drug conflicts and interactions - 95%
  6. Alternative drugs/clinical comparisons - 90%
  7. Cost calculator to determine cost savings of generic vs. branded products - 83%
  8. Drug cost management mechanisms/rationale - 81%
  9. Cost calculator to support comparison of clinical - 78%
  10. Cost calculator sensitive to member benefit design to determine member cost share - 72%
  11. Information regarding preferential reimbursement or pricing for using certain pharmacies - 67%
  12. Telephone coach is notified - 60%
  13. Gaps in fill are communicated electronically to PHR - 40%

Notes: Based on employer responses to annual eValue8 health plan survey; multiple responses allowed
Source: eValue8 Employer Report on 2010 Health Plan Diabetes Care Performance - Published May 2011 by National Business Coalition on Health
Source URL: http://nbch.org/nbch/files/ccLibraryFiles/Filename/000000001...



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