What does managing the pharmacy benefit mean for the consumer?
When a consumer presents a prescription at a pharmacy, the pharmacist connects with the MedImpact computer system to determine eligibility, and perform over 800 clinical safety checks, such as potentially harmful medication interactions and restrictions. The pharmacy transaction is processed within seconds. Typically, once the prescription claim is approved, the pharmacist collects a copay or coinsurance from the patient. MedImpact then reimburses the pharmacy for the remainder and collects the amount owed from the patient’s employer or health plan.
