A Strong and Strategic Product Core

All workers’ compensation products contribute to the primary goal of savings and cost management. Our product core includes:

Formulary: List of medications designed to allow drugs commonly used in the treatment of work-related injuries. The payer has the ability to customize the formulary by therapeutic class to include additional medications to meet its needs.
Prior Authorization: Permits the adjuster to set case-by-case edits online, allowing for additional clinical scrutiny. This function occurs before dispensing and provides early identification of potential abuse or fraud.
Network Strategy: Communications to injured workers and network pharmacies that encourage network pharmacy compliance and electronic processing directly with Express Scripts.
Home Delivery: Preferred channel for fulfillment of prescriptions ensuring convenience and increased safety for injured workers and savings for clients.
Concurrent Drug Utilization Review (DUR): Customized Express Scripts DUR identifies potentially inappropriate prescriptions before dispensing.

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