Abstract: Described herein are systems and methods for automated provision of auxiliary medication during prescription processing. A medication provision computing device is configured to process a prescription for a first medication, the prescription including an identifier of the first medication, and to detect the identifier of the first medication in a stored list of flagged medications. The computing device is further configured to generate, in response to the detecting, auxiliary medication provision instructions, the auxiliary medication provision instructions causing a pharmacy computing device to display the auxiliary medication provision instructions for provision of an auxiliary medication to a patient along with the first medication.

Abstract: Described herein are systems and methods for automated provision of auxiliary medication and/or complementary food during prescription processing. A medication provision computing device is configured to process a prescription for a first medication, the prescription including an identifier of the first medication, and to detect the identifier of the first medication in a stored list of flagged medications. The computing device is further configured to generate, in response to the detecting, provision complementary food provision instructions, the complementary food provision instructions causing a pharmacy computing device to display the complementary food provision instructions for provision of a complementary food to a patient along with the first medication.

Abstract: Described herein are pharmacy claim transaction processing systems and methods. A method for pre-approval of a prior authorization includes receiving a pharmacy claim transaction message associated with a pharmacy claim transaction for a prescription that satisfies a prior authorization (PA) trigger condition, the message including a plan identifier and a prescriber identifier. The method includes querying a database with the prescriber identifier and plan identifier to access prescriber reference data, healthcare plan provisions, and jurisdictional regulations, as well as applying pre-approval rules to the prescriber reference data, healthcare plan provisions, and jurisdictional regulations, the pre-approval rules defining pre-approval conditions for pharmacy PAs. The method includes, when the pre-approval conditions are met, automatically appending an approval data element to the message to generate a PA approval message and transmitting the PA approval message.

Abstract: Described herein are pharmacy claim transaction processing systems and methods. A method for pre-approval of a prior authorization includes receiving a claim transaction message associated with a pharmacy claim transaction for a prescription that satisfies a prior authorization (PA) trigger condition, the message including a plan identifier and a prescriber identifier. The method includes querying a database with the prescriber identifier and plan identifier to access prescriber reference data, healthcare plan provisions, and jurisdictional regulations, as well as applying pre-approval rules to the prescriber reference data, healthcare plan provisions, and jurisdictional regulations, the pre-approval rules defining pre-approval conditions for pharmacy PAs. The method includes, when the pre-approval conditions are met, automatically appending an approval data element to the message to generate a PA approval message and transmitting the PA approval message.