Pharmacy Intervention
Improve Patient Care & Claim Outcomes
Pharmaceutical intervention is often necessary to effectively manage and mitigate medication utilization and costs, prevent dependency and addiction, and improve patient safety. Pharmacy Intervention focuses on inappropriate polypharmacy regimens. Our suite of services includes a uniquely focused peer review, pharmacy oversight services, and the one-of-a-kind TaperRx.
Refer a CasePeer Review and Outreach
Peer review and outreach includes a comprehensive assessment of all medications, current medical records, and peer to peer outreach for discussion. Our comprehensive report includes a complete medication history, recommendations supported by evidence-based guidelines, and results of physician outreach.
TaperRx
The TaperRx program creates a patient-specific guide for the outpatient weaning and/or discontinuation of identified unnecessary medications. The pharmacist consults peer-reviewed clinical literature, evidenced-based guidelines and considers the whole medication regimen to develop patient-specific, step-by-step guides with withdrawal concerns in mind. TaperRx can be utilized in conjunction with any recent managed care determination that indicates an adverse decision on a medication indicated for withdrawal concern.
Pharmacy Oversight
Pharmacy oversight is available for at risk pharmacy claims to monitor weaning programs and other pharmacy utilization recommendations that were agreed upon at the time of peer-to-peer discussion.
Pharmacy Insights
There is always something to talk about when it comes to workers' comp and auto pharmacy. To learn more, visit our pharmacy insights page.
Navigate Next Now
Our extensive pharmacy program delivers the industry's most comprehensive PBM solution so that you, your team, and your program can navigate what's next with success. Contact us to find out what's next for you. For patient inquiries, please call 866.549.1552.