METHODS AND SYSTEMS FOR MANAGING PRESCRIPTION DRUG BENEFIT PLANS

摘要

A method for managing payments between a prescription drug benefits manager (PBM), a pharmacy, and a client of the PBM is described. The payments are made in accordance with a prescription drug benefits plan offered by the client to an individual and managed by the PBM. The method includes receiving transaction data associated with a first prescription drug transaction from the pharmacy, the transaction data including data identifying the prescription drug benefits plan and data identifying a first medication and a dosage of the first medication. The method also includes determining at least one of a pharmacy discount goal and a client discount goal. The method also includes determining at least one of an actual pharmacy discount provided by the PBM to the pharmacy over a predefined period of time, and an actual client discount provided by the PBM to the client over the predefined period of time.