SYSTEM AND METHOD OF ASSISTING PRESCRIPTION TREATMENT FULFILLMENT

摘要

Provided is a method and system for facilitating limited fulfillment of a prescription for a drug. An indication that an authorizing party has rejected an insurance claim submitted by a pharmacy for insurance coverage of at least a portion of a purchase price of a prescription drug on behalf of a patient is received over a network, in addition to an indication that prior authorization is required. Before a decision whether to grant the prior authorization is issued by the authorizing party, initiating transmission of an offer to allow redemption of a quick start voucher to the pharmacy over the communication network that allows the limited fulfillment of the prescription for the prescription drug, but less than the complete fulfillment.

主权项

1. A method of allowing a limited fulfillment of a prescription for a drug, the method comprising:
with a computer, receiving an indication over a communication network that an authorizing party has rejected an insurance claim submitted by a pharmacy for insurance coverage of at least a portion of a purchase price of a prescription drug on behalf of a patient; receiving, with the computer, a communication indicating that the authorizing party requires prior authorization of the insurance coverage as a condition to complete fulfillment of the prescription, as prescribed by a physician licensed to practice medicine; before a decision whether to grant the prior authorization is issued by the authorizing party, initiating transmission of an offer to allow redemption of a quick start voucher to the pharmacy over the communication network, wherein the quick start voucher is redeemable for at least partial cost coverage of the prescription for the prescription drug on behalf of the patient without the decision whether to grant the prior authorization; and receiving prior authorization information that is to be included in a prior authorization form as part of a request for prior authorization in addition to redemption of the quick start voucher.