Abstract: A system and method facilitate modification of an order including selection of a different supplier than the supplier originally designated to fill the order. The system includes a communication interface configured to receive an order identifying a product, a designated supplier and a price of the product. The system also includes a supplier database configured to store information for a plurality of suppliers. The system further includes processing circuitry configured to identify one or more alternative suppliers and the price of the product at the alternative suppliers based upon the information stored by the supplier database. The processing circuitry is also configured to cause information to be provided to a customer regarding the price of the product at the alternative suppliers. The processing circuitry is further configured, based on feedback from the customer that identifies a different supplier, to facilitate modification of the order to identify the different supplier.

Abstract: Provided is a method of processing a request pertaining to a prescription drug. The method includes receiving, with a computer system after a claim requesting at least partial insurance coverage of a cost associated with the prescription drug has been submitted to an insurance benefits manager, a notification that prior authorization has been required. Before the request for prior authorization is submitted, it is determined that an alternate drug is a possible substitute for the prescription drug, and the alternate drug is believed to not require prior authorization under the insurance policy. The determination is made based on data contained in a database that is generally accepted in a pharmacy industry and is not unique to an insurer affiliated with the insurance policy.

Abstract: Provided is a method and system for facilitating limited fulfillment of a prescription for a drug. An indication that an authorizing party has rejected an insurance claim submitted by a pharmacy for insurance coverage of at least a portion of a purchase price of a prescription drug on behalf of a patient is received over a network, in addition to an indication that prior authorization is required. Before a decision whether to grant the prior authorization is issued by the authorizing party, initiating transmission of an offer to allow redemption of a quick start voucher to the pharmacy over the communication network that allows the limited fulfillment of the prescription for the prescription drug, but less than the complete fulfillment.

Abstract: An apparatus, a method, and a computer program product are provided. The apparatus includes at least one memory including computer program code, and at least one processor. The at least one memory and the computer program code are configured to, with the at least one processor, cause the apparatus at least to receive a request to generate a prior authorization form for a prescription drug, select the prior authorization form from a plurality of prior authorization forms based on the request, and transmit the selected prior authorization form to a user so that the user can complete and submit the prior authorization form to the health plan and receive a determination on the request. The prior authorization form is selected based on at least one of a user search result and a standardized transaction.

Abstract: An apparatus, a method, and a computer program product are provided. The apparatus includes at least one memory including computer program code, and at least one processor. The at least one memory and the computer program code are configured to, with the at least one processor, cause the apparatus at least to receive a request to generate a prior authorization form for a prescription drug, and select the prior authorization form from a plurality of prior authorization forms based on the request. The prior authorization form is selected based on at least one of a user search result and a standardized transaction. The at least one memory and the computer program code are further configured to, with the at least one processor, cause the apparatus at least to transmit the selected prior authorization form to a user so that the user can complete and submit the prior authorization form to the health plan and receive a determination on the request.