Express Scripts Strategic Development, Inc.

Evernorth Strategic Development, Inc.

Daniel C Casper

Mark G Bini

Sara A Raj

Christina Marie Vallery

Sarah E Ham

Glen D Stettin

Jamie R Williams

William S Patterson

Zachary A Goodman

Snezana Mahon

Ashley M Jenne

Sarah Micheletti

Damian Ng

Pritesh J Shah

Harry S Gangaikondan-Iyer

Amit K Bothra

John J Felo, Ii

Selva Prabhu

Aanal Patel

Shahnawaz A Khan

Jonelle Lofton

Gaspar Reyes

A digital health solution system includes: a virtual pharmacy comprising one or more processors configured to operate a web portal for user devices via a network, the web portal serving as a marketplace for products and services available from vendors for consumption by users; a transaction processing module configured to: receive, via a network, a transaction from a vendor regarding one or more of the products and services consumed by one or more users via the virtual pharmacy for payment to the vendor; adjudicate the transaction using adjudication rules stored in memory; bill an entity for the use of the one or more of the products and services associated with the one or more users when the adjudication of the transaction passes; and transmit, via a network, a response regarding the transaction to the vendor.

Computerized aggregation and transaction processing architecture for digital health infrastructure

A method includes receiving a prescription benefit request and identifying one or more covered alternative drugs. The method also includes identifying one or more additional alternative drugs based on at least one of the requested drug and determining whether the one or more additional alternative drugs includes at least one covered additional alternative drug. The method also includes determining, for each of the at least one covered additional alternative drug and the one or more covered alternative drugs, an alternative drug value. The method also includes identifying the at least one covered additional alternative drug and the one or more covered alternative drugs having a lowest alternative drug value and generating a request response indicating at least the alternative drug of the at least one covered additional alternative drug and the one or more covered alternative drugs having the lowest alternative drug value.

Drug alternative recommendation engine for real-time prescription benefit requests

A digital health solution system includes: a virtual pharmacy including one or more processors configured to operate a web portal for user devices via a network, the web portal serving as a marketplace for digital health solution applications available for download by and activation on user devices; a digital health marketplace including one or more processors configured to, in response to receipt of user input from a user device: determine activation criteria for a selected one of the digital health solution applications; and transmit the activation criteria to the virtual pharmacy, where the one or more processors of the virtual pharmacy are configured to transmit the activation criteria to the user device via the network; and where the user device is configured to, using the activation criteria, at least one of download and activate the selected one of the digital health solution applications.

Computerized aggregation and distribution architecture for digital health infrastructure

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Ellisville, MO, United States of America

Daniel C Casper