Mckesson Corporation

Siemens Aktiengesellschaft

Phillip Draa

Jared Burdine

John Giglio

Mehmet Gungor

A method, apparatus and computer program product are provided for partitioning prescription transaction costs in an electronic prescription transaction by determining a credit amount to be applied to an adjudicated prescription claim. The credit amount may be applied based on a co-pay amount provided by an adjudication computer and/or historical data, and may be adjusted according to an alternative cost obtained from an alternative cost data source. The alternative cost may be a cost for which a government sponsored plan can obtain the prescription. The remaining patient pay amount may be transmitted to a pharmacy computer such that a patient can purchase the prescription for a discounted cost.

Method, apparatus, and computer program product for partitioning prescription transaction costs in an electronic prescription transaction

A method, apparatus and computer program product are provided for partitioning prescription transaction costs in an electronic prescription transaction by determining a credit amount to be applied to prescription transaction, based on an alternative cash price. In circumstances which an associated prescription claim is rejected or determined to be likely rejected, such as due to a requirement for prior authorization, a patient may still be motivated to purchase a prescription via a cash transaction, particularly with the credit amount applied. The prescription transaction may be reformatted to indicate a cash transaction and include the credit amount, and may exclude benefit information. The credit amount and a reformatted prescription transaction may be transmitted to the pharmacy computer or other third party computer.

Growing community of inventors

Atlanta, GA, United States of America

Phillip Draa