-
公开(公告)号:US20140222456A1
公开(公告)日:2014-08-07
申请号:US14247586
申请日:2014-04-08
Applicant: Express Scripts, Inc.
Inventor: Jo-Ellen Abou Nader , Suzanne B. Mitchell
IPC: G06F19/00
CPC classification number: G06F19/328 , G06F19/3456 , G06Q50/22
Abstract: Methods and systems for drug purchase validation are described. In an example embodiment, drug sale data is accessed from a prescription drug wholesaler regarding prescription drugs sold to the pharmacy by the prescription drug wholesaler during a period of time. A number of units of a prescription drug sold to the pharmacy are determined based on the drug sale data during the period of time. Pharmacy claims data over the period of time is accessed, where the pharmacy claims data reflects a plurality of adjudicated claims, and the plurality of adjudicated claims are a plurality of claims that were submitted for adjudication by the pharmacy during the period of time. A number of units of a prescription drug associated with the plurality of claims submitted during the period of time by the pharmacy for adjudication are determined based on the pharmacy claims data. The number of units of the prescription drug associated with the plurality of adjudicated claims that were submitted for adjudication by the pharmacy is compared with the number of units of the prescription drug sold to the pharmacy. A determination is then made as to whether a discrepancy exists based on the results of the comparison. Additional methods and systems are disclosed.
Abstract translation: 描述了药物购买验证的方法和系统。 在一个示例性实施例中,药物销售数据从处方药批发商处获得,处方药在一段时间内由处方药批发商销售给药店。 销售给药房的处方药的单位数量是根据药物销售数据确定的。 访问药房要求在一段时间内的数据,其中药房索赔数据反映了多个被裁决的权利要求,并且多个被裁决的权利要求是多个权利要求,这些权利要求被提交给药房在一段时间内进行裁决。 根据药房索赔数据确定了药房审判期间在一段时间内提交的与多个索赔相关的许多处方药单位。 将提交给药房审判的多个裁定权利要求相关的处方药单位数与销往药房的处方药单位数进行比较。 然后根据比较结果确定是否存在差异。 公开了附加的方法和系统。
-
公开(公告)号:US08571297B2
公开(公告)日:2013-10-29
申请号:US13653148
申请日:2012-10-16
Applicant: Express Scripts, Inc.
Inventor: Charles E. Eller , Herbert A. Youngs
CPC classification number: G07G1/0036 , G06F19/00 , G06F19/3462 , G07F9/026 , G07F17/0092 , G16H40/20
Abstract: The invention is directed to a prescription imaging system for capturing, storing and displaying images of prescription bottles during the prescription fulfillment process to monitor the quality of the fulfillment process. The system includes one or more pill cameras for capturing images of pills dispensed into one or more prescription bottles and one or more label cameras for capturing images of the bottle labels. The images are stored on a storage device in a database record. The images can be used to verify that the pills in each bottle correspond with the associated prescription.
Abstract translation: 本发明涉及一种处方成像系统,用于在处方执行过程中捕获,存储和显示处方瓶的图像,以监测履行过程的质量。 该系统包括一个或多个药丸相机,用于捕获分配到一个或多个处方瓶中的药丸的图像,以及一个或多个标签相机,用于捕获瓶子标签的图像。 图像存储在数据库记录中的存储设备上。 可以使用图像来验证每个瓶中的药丸是否与相关处方对应。
-
33.
公开(公告)号:US20130151281A1
公开(公告)日:2013-06-13
申请号:US13712947
申请日:2012-12-12
Applicant: Express Scripts, Inc.
Inventor: Jennifer L. Kaburick , Hollie Ann Bowyer , Lori T. Miller , Colin T. Halloran
IPC: G06F19/00
CPC classification number: G06F19/328 , G06Q10/10 , G06Q50/22
Abstract: Methods and systems for managing prescription liability are described. In one embodiment, a reimbursement request for filling of a prescription drug on behalf of a worker is received. The reimbursement request is identified as being associated with a claim assumer. A determination that workers' compensation patient eligibility information is available for the worker is made. A modification notification including workers' compensation patient eligibility information associated with the worker is transmitted to a pharmacy administrative device. A replacement reimbursement request for filling of the prescription drug on behalf of the worker is received. The replacement reimbursement request is routed to a benefit manager device based on receipt of the replacement reimbursement request. Additional methods and systems are disclosed.
Abstract translation: 描述管理处方责任的方法和系统。 在一个实施例中,收到代表工人填写处方药的报销请求。 报销请求被确定为与索赔假设相关联。 确定工人对工作人员提供的病人资格信息可用。 将与工人有关的工伤赔偿患者资格信息的修改通知发送给药房管理装置。 收到代表工人填写处方药的更换报销请求。 替换报销请求将根据接收到的更换报销请求路由到利益管理器设备。 公开了附加的方法和系统。
-
公开(公告)号:US10691776B1
公开(公告)日:2020-06-23
申请号:US13969707
申请日:2013-08-19
Applicant: Express Scripts, Inc.
Inventor: David Alfredo Tomala , Seda Aydin Follis , Suman Katragadda
Abstract: Methods and systems for predicting adherence to Multiple Sclerosis treatment are described. In one embodiment, a member undergoing a Multiple Sclerosis treatment is identified. Member data associated with the member undergoing the Multiple Sclerosis treatment is accessed. Pre-prediction time period adherence data associated with the member, member prescription data associated with the member, member family data associated with the member, and member demographic data associated with the member are determined based on the member data associated with the member. A likelihood that the member will be adherent to the Multiple Sclerosis treatment over a prediction time period is determined based on the pre-prediction time period adherence data, member prescription data, member family data, and member demographic data. Other methods and systems are described.
-
公开(公告)号:US10402839B1
公开(公告)日:2019-09-03
申请号:US13860002
申请日:2013-04-10
Applicant: Express Scripts, Inc.
Inventor: Sharon Glave Frazee , Robert F. Nease, Jr.
Abstract: Methods and systems for determining drug trend and drug inflation are described. In one embodiment, an index sample may be selected including an identification of a plurality of drugs. A weighting factor associated with each of the plurality of drugs in the index sample may be calculated. A first weighted price of for the plurality of drugs may be calculated for a first time period. A second weighted price for the plurality of drugs may be calculated for a second time period. A price index may be calculated for the second time period based on the first weighted price and the second weighted price. Other methods and systems are described.
-
公开(公告)号:US10369080B2
公开(公告)日:2019-08-06
申请号:US15407376
申请日:2017-01-17
Applicant: Express Scripts, Inc.
Inventor: Jonathan W. Joplin
Abstract: Systems and methods for manually filling a prescription order. A manual fill device may be incorporated into a manual fill center of a pharmacy operated by one or more pharmacists and/or pharmacist technicians to manually fill certain prescription containers. The manual fill device may include a control unit which may operate at the direction of the order processing device. The manual fill device may also include a distribution section automating distribution of containers for manual fulfillment, and a manual section in which a pharmacist may utilize available pharmaceuticals to manually fill orders.
-
公开(公告)号:US10332061B2
公开(公告)日:2019-06-25
申请号:US15358260
申请日:2016-11-22
Applicant: Express Scripts, Inc.
Inventor: Robert E. Hoffman , Jonathan W. Joplin
Abstract: A pharmaceutical filling system for a high volume pharmacy is described. The system can include an outflow conveyor, and an injection conveyor to inject a package located thereon onto the outflow conveyor. The injection conveyor can be adjacent to the outflow conveyor and oriented substantially perpendicular to the outflow conveyor. The system can also include a monitoring system positioned to perform package monitoring of the outflow conveyor and to image the package on the outflow conveyor after the package has been injected onto the outflow conveyor. The monitoring system can be further configured to determine an intended destination of the package based on an identifier detected on the package in the image captured by the monitoring system. A routing device can be positioned to perform package routing of the package to an accumulation area for packages based on the determination of the intended destination of the package.
-
公开(公告)号:US10331858B2
公开(公告)日:2019-06-25
申请号:US14505486
申请日:2014-10-02
Applicant: Express Scripts, Inc.
Inventor: Steven B. Miller , Glen D. Stettin , Sharon G. Frazee
IPC: G06F19/00
Abstract: Systems and methods for prescription drug packaging are described. In some embodiments, a determination that a member of a pharmacy benefit plan has had a plurality of prescription drugs previously filled is made. An adjudication request for a prescription drug prescribed for the member is received. The adjudication request is based on a fulfillment request to fill the prescription drug. A determination that a blister packaging criterion has been met may be made based on a drug type of the prescription drug and a determination that the member has had the plurality of prescription drugs that have previously been filled. A blister fill instruction is transmitted based on receipt of the adjudication request and a determination that the blister packaging criterion has been met, wherein the blister fill instruction reflects that a pharmacy is to fill the prescription drug utilizing blister packaging. Additional methods and systems are disclosed.
-
公开(公告)号:US10151735B2
公开(公告)日:2018-12-11
申请号:US15342547
申请日:2016-11-03
Applicant: EXPRESS SCRIPTS, INC.
Inventor: Jonathan W. Joplin
IPC: G01N29/07 , G01N29/04 , G01N29/11 , G06F17/00 , G06F7/00 , G01N33/15 , G01B11/24 , G01F23/296 , G01J3/50 , G01N29/12 , G01V1/00
Abstract: Solid contents verification systems and methods are provided. The system includes a contents sensor unit, a container-carrying unit and a control unit. The contents sensor unit has at least one contents sensor configured to send and receive sonic pulses to determine a state of contents in a container. The contents sensor unit is configured to send a signal communicating a state of the contents in a container. The container-carrying unit is configured to hold a container in substantial alignment with the contents sensors to expose the contents to the sonic pulses. The control unit is operatively connected to the contents sensor unit. The control unit is configured to receive the signal communicating the state of the contents and to compare the state of the contents with a desired state of the contents.
-
公开(公告)号:US10053248B2
公开(公告)日:2018-08-21
申请号:US14887730
申请日:2015-10-20
Applicant: Express Scripts, Inc.
Inventor: Jonathan W. Joplin
CPC classification number: B65B35/26 , A61M5/002 , B65B3/003 , B65B35/56 , G07F11/52 , G07F11/70 , G07F17/0092
Abstract: A prescription handling system that takes filled prescription containers in an automated pharmacy and places them into a package for shipment is described. The handling system includes an inflow to feed containers to a turntable and a robot moves containers from the turntable to a container placement section, which places the containers in a pocket of a package for shipping. Each container for a prescription order is tracked to ensure that only associated containers are packaged together.
-
-
-
-
-
-
-
-
-