公开(公告)号：US10748227B2

公开(公告)日：2020-08-18

申请号：US15972991

申请日：2018-05-07

Applicant: EXPRESS SCRIPTS STRATEGIC DEVELOPMENT, INC.

Inventor： Danielle L. Drzewucki ,  Todd N. Teixeira ,  Ben A. Unk

IPC: G06Q50/20 ,  G06Q30/02 ,  G06Q50/22

Abstract: Methods and systems for rebate modeling are described. In an embodiment, a formulary of a plan sponsor is accessed. Prescription drug utilization data is accessed. Drug pricing information is accessed. Benefit design including co-pay structure of the plan sponsor is accessed. A plan sponsor rebate for a drug classification is calculated. An alternate plan sponsor rebate is calculated based on a formulary modification, a benefit design modification, or both the formulary modification and the benefit design modification. A difference between the plan sponsor rebate and alternate plan sponsor rebate is determined. A display is generated based on a determination of the difference. Additional methods and systems are disclosed.

公开(公告)号：US20190019263A1

公开(公告)日：2019-01-17

申请号：US15972991

申请日：2018-05-07

Applicant: EXPRESS SCRIPTS STRATEGIC DEVELOPMENT, INC.

Inventor： Danielle L. Drzewucki ,  Todd N. Teixeira ,  Ben A. Unk

IPC: G06Q50/22 ,  G06Q30/02

CPC classification number: G06Q50/22 ,  G06Q30/0234

Abstract: Methods and systems for rebate modeling are described. In an embodiment, a formulary of a plan sponsor is accessed. Prescription drug utilization data is accessed. Drug pricing information is accessed. Benefit design including co-pay structure of the plan sponsor is accessed. A plan sponsor rebate for a drug classification is calculated. An alternate plan sponsor rebate is calculated based on a formulary modification, a benefit design modification, or both the formulary modification and the benefit design modification. A difference between the plan sponsor rebate and alternate plan sponsor rebate is determined. A display is generated based on a determination of the difference. Additional methods and systems are disclosed.