Clinical Programs

Highly targeted programs reduce the chance of drug-related problems, manage therapy and disease, target branded drugs and replace them with cost-effective ones, optimize dosage and educate benefit members. Look into the details.

1. MTMP for asthma, congestive heart failure, hyperlipidemia and high blood pressure: These programs are focused on reducing the chance of drug-related problems, such as drug-drug interactions, drug-disease interactions, under and over utilization, disease not treated, and drug being used without a diagnosis.
2. Disease management: Based on medical and pharmacy data integration our system detects gaps in therapy with an education component that targets members and providers. For example:
   • Therapeutic Interchange targets branded drugs with no generic available but generics available in the same category.
3. Dose Optimization targets drugs that have the same price across the different strengths and can be given once a day or more often.
4. Education targets drug-adherence interventions with members.