Express Scripts Strategic Development, Inc.

Evernorth Strategic Development, Inc.

Susan E Anselmi

John W Cooper, Iv

Alexi E Makarkin

Jeffrey Whitworth

Samuel Affare

Robert Monzyk

Brady Novak

Methods and systems for classifying and editing insurance claims records are described. In one embodiment, a method, which can be performed by a processor, includes identifying that a first prescription drug prescribed to a first patient, identifying a first date and a second date related to the first prescription, the second date occurring after the first date, both the first and second dates depending on a previous fill of the first prescription drug, identifying, at the processor, a third date associated with a second prescription, comparing, at the processor, the third date to the first and second dates to determine whether the third date occurs after the first date and before the second date, and filling and dispensing the first prescription drug and the second prescription drug on the same dispense date when the third date occurs after the first date and before the second date.

Methods and systems for managing prescriptions

Methods and systems for performing multidose packaging targeting are provided. The methods and systems perform operations comprising: receiving prescription related complexity data associated with a patient, the prescription related complexity data comprising medication regiment information for a plurality of medications and patient specific information, the prescription related complexity data representing complexity for the patient in adhering to the one or more medications; applying a model to the prescription related complexity data to generate a score for at least one medication of the plurality of medications, the score being indicative of a likelihood of converting the patient from a current dispensing process to an alternate dispensing process; and triggering, based on the generated score, a notification associated with converting the patient from the current dispensing process to the alternate dispensing process.

Multidose packaging targeting system

Methods and systems for classifying and editing insurance claims records are described. In one embodiment, a method, which can be performed by a processor, includes determining that a first prescription drug prescribed to a first patient should be filled by a pharmacy, determining a first guidepost date and a second guidepost date related to the first prescription, determining a third guidepost date associated with a second prescription, comparing the third guidepost date to the first and second guidepost dates to determine whether the third guidepost date occurs after the first guidepost date and before the second guidepost date, and filling and dispensing the first prescription drug as a full prescription supply and the second prescription drug as a full prescription supply on the same dispense date when the third guidepost date occurs after the first guidepost date and before the second guidepost date.

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Nutley, NJ, United States of America

Susan E Anselmi