Pharmacy Services
Prescription drug costs continue to rise and have become a larger percentage of total healthcare expenditures for the workers' compensation and auto-injury markets. M. Joseph Medical is retained by workers' compensation insurance carriers and third party administrators to implement and maintain a national network of pharmacies and mail order services. Through these pharmacies and mail order channels, injured claimants can receive their approved medications with no out-of-pocket expense. The network in which we currently participate has contracts with nearly 99% of pharmacies across the United States. We are adding the small neighborhood pharmacies and doctors who dispense drugs from their office as necessary. This network of pharmacies is the most efficient and cost-effective method of fulfilling prescriptions for patients.
Benefits of Pharmacy Program:
- Nationwide pharmacy network with over 65,000 participating pharmacies
- Customized pharmacy program to meet client’s needs
- Rx program is drug specific, with option of “locking” in specific prescribing physicians
- Prospective Drug Utilization Review System (Pro-DUR)—instantly looks for ingredient duplication, drug-to-drug interaction, excessive utilization, drug pregnancy precaution, excessive duration, therapeutic duplication, drug-disease contraindications, under-utilization, allergy alerts
- Cost-saving generic and same-class brand name medication substitutions, in conjunction with patient’s physician
- Extremely fast POS processing for pharmacies
- Mail order program available
- Rx benefits available immediately
- Rx savings significantly below fee schedule
- Customer Service Dept readily available to assist claims adjusters, nurses, patients and pharmacies
- Personalized service and close attention to detail by highly trained staff
- Additions and/or updates to eligibility updated instantly
- Rx cards and/or temporary Rx cards provided at no cost
- Cost savings reports provided monthly
- Utilization and activity reports available