Abstract: A system for providing improved first-fill prescription adherence may include a dispensing pharmacy apparatus configured to receive prescription information from a care professional. The system may also include a non-dispensing pharmacy apparatus configured to access the prescription information at the dispensing pharmacy. The non-dispensing pharmacy apparatus may analyze the prescription information to determine if any necessary information is missing, and provide a request for any missing information. The non-dispensing pharmacy apparatus may further communicate prescription information to an insurance provider, receive insurance provider approval and co-pay information, and execute a co-pay offset application to determine if co-pay offset benefits are available. A corresponding method is also provided.

Abstract: Systems and methods are provided for adjusting secondary benefit levels for healthcare transactions for which primary benefits were previously rejected for lack of prior authorization by a primary payor. A healthcare transaction may be received from a primary payor computer. The transaction may include patient information, loyalty card information, a request for healthcare benefits, and a refill request for a prescribed medication or service. The administrator computer can determine the transaction is approved by the primary payor computer. The transaction can include a designation of a primary benefit from the primary payor. The administrator computer can determine that a prior authorization requirement for the primary payor has been satisfied based in part on the determination that the transaction is approved by the primary payor. The administrator computer can also change the healthcare benefits provided for the client from a second secondary benefits program to a first secondary benefits program.

Abstract: A method is provided that includes receiving input to enroll a patient in a program of an administrator, where the program is directed to a cosmetic medication administrable to the patient by a prescriber. The method also includes receiving recordation of an administering or intended administering of the medication to the enrolled patient by the prescriber, where recordation of the administering or intended administering initiates a request for a rebate on a price of the medication. Further, the method includes processing the request to determine an amount of the rebate, returning a response to the request including an indication of the amount of the rebate, and remitting the rebate amount to the patient.