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All Things Pharmacy
March 4, 2019
Brought to you by PCM
Be in the Know
Critical breakthrough in research for novel coronavirus vaccine.
Anticonvulsant recalled and may have serious adverse health consequences.
Several states are taking unusual steps to contain drug costs.
Data analytics could improve specialty pharmacy outcomes.
Focus: Pharmacy Analytics
Database searches and spreadsheets are not analytics
If you rely on spreadsheets, SQL, or your data team to generate pharmacy plan reports, you are wasting time and overhead. With over 50 fields and hundreds of thousands of lines in a standard pharmacy claims file, traditional pharmacy reporting is tedious and slow. Output may provide a summary view of different facets of the Rx plan, but the time required to manually cull this complex data, often leaves little time to identify actionable insights for the plan sponsor.
In contrast, true data analytics aggregates and displays pharmacy claims so that the client can make highly informed plan decisions. Data analytics dissects plan utilization, pricing details, and trends into nuggets of actionable information without time consuming manual calculations. Traditional reporting provide claims summary. Data analytics provides suggestions and highlights opportunities to affect change.
What is DAW?
Dispense as Written (DAW) codes are used by physicians and pharmacies to indicate if and why a generic alternative to a prescribed brand drug was filled. While occasionally a brand drug is medically or legally necessary, DAW codes can automatically exclude generic drugs without cause. In these instances, plan sponsors may be overpaying for brand name drugs when lower cost
alternatives are available. DAW codes are located in the claims files to inform insurers, PBMs, and plan sponsors how a prescription was filled and if discounts were impacted. Examining this data allows plan sponsors to identify which physicians or pharmacies are using DAW codes to eliminate generic fills.
Get more sleep for heart-healthy living
Heart disease is the leading cause of death in the United States for men and women. Taking preventative measures such as checking your blood pressure, choosing heart-healthy foods, and managing stress can lower your changes of getting heart disease, but did you know that getting enough quality sleep can also improve your heart health. Quality sleep helps heal and repair your heart and blood vessels. The American Academy of Sleep Medicine recommends that adults 18 years and older get at least 7-9 hours of sleep a day. Dedicating enough time to sleep and creating a restful environment can all help you live your most health-healthy life.
For over 10 years, Prescription Care Management has been solving complex pharmacy problems
with a client-centric approach. Simply put, we help self-insured organizations see where their
pharmacy dollars are going and cut spend where it counts.
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