Abstract: Systems and methods are provided for determining eligibility in a prescription safety network program, such as a risk evaluation and mitigation strategies (REMS) program. Enrollment information can be received from a prescriber of medication, such as a doctor, to enroll in a prescription safety network program. The prescriber enrollment information can be stored in a first database and the prescriber can be provided the ability to enroll patients in the prescription safety network program in a second database that is separate and distinct from the first database. Patient enrollment data for the prescription safety network program can be received from the prescriber and stored in the second database. Further, pharmacy/pharmacist enrollment data for the prescription safety network program can be received from a pharmacy/pharmacist and stored in the second database.

Abstract: Systems and methods are provided for determining and communicating notification messages which may be available for a patient, as part of the processing of a healthcare transaction. A healthcare claim transaction, such as a prescription claim request, may be received by the service provider computer from a pharmacy management system. The service provider computer may determine if an a notification message is available for the patient and if a patient response to an available notification message has been transmitted to the service provider prior to the service provider computer receiving the healthcare claim transaction. The service provider computer may receive an approved adjudicated response and generate a notification corresponding to the available notification message for the patient. The service provider computer may receive a patient response to the message and may capture the patient response for use as a part of the processing of other healthcare transactions.

Abstract: Systems and methods are provided for verifying dosages associated with healthcare transactions. A healthcare transaction may be received from a healthcare provider computer. The received healthcare transaction may include information associated with a patient and a prescribed product. Based at least in part on the received information, an age of the patient may be determined. Based upon the determined age, a probable weight for the patient may be determined. The probable weight may be utilized to determine whether a prescribed dosage for the product is an appropriate dosage for the patient.

Abstract: Embodiments of the invention may include systems and methods for notifying a prescriber or other entity of duplicate product prescriptions. According to one embodiment, a method for processing prescriptions is provided that may include the operations of: receiving a healthcare transaction that identifies a current prescribed product, a patient, and a current prescriber who prescribed the current prescribed product; retrieving patient history for the patient; determining the following based on the patient history: that the patient has previously received a previous equivalent product equivalent to the current prescribed product identified in the healthcare transaction and an identity of a previous prescriber of the previous equivalent product; and transmitting a notification to at least one of the previous prescriber or the current prescriber, wherein the notification identifies potential duplicate products.

Abstract: Systems and methods for verifying prescription transaction dosages can be provided according to embodiments of the invention. According to one example embodiment, a method for dosage error verification may be provided. The method may include executing computer program instructions by one or more processors for receiving a prescription transaction including a submitted drug product and a submitted strength of the submitted drug product; comparing the submitted drug product and the submitted strength to dosage error data residing in a dosage error database; determining that the submitted drug product is a member of at least one dosage error pair indicated by the dosage error data; determining that the submitted strength is potentially incorrect based at least in part on strengths indicated by the at least one dosage error pair; and performing an edit action based at least in part on the determination that the submitted strength is potentially incorrect.