SpecialityDrugManagement.com provides access to your organization’s policies and procedures for formulary management and reimbursement rates for those medications a physician might utilize and administer in his/her office.
Your organization can customize information specific to each Provider Specialty regarding:
Drug Formularies
Policies & Procedures approved during the P&T(Pharmacy and Therapeutics Committee) decision process
Complete P&T(Pharmacy and Therapeutics Committee) minutes
Prior Authorization guidelines and forms
Where and How to obtain specific medications from third parties
Forms, Phone Numbers, etc
Clinical information relating to drugs contained on your formulary
Your organization's reimbursement rates for:
Administrative services
Drug provided by Providers in his/her office
Logon:
Your Organization can either:
Pre-load all providers establishing a predetermined user name and password, or
Establish registration passwords allowing providers to 'register themselves' and establish their own unique user name and password, or
Establish user names and passwords for each individual Provider Specialty within your organization displaying formulary and reimbursement information specific to that specialty/provider, or
Create a base formulary for your organization, stating rates and policies that apply to all providers equally
Search Options:
Drug and drug code specific information can be found by typing in complete or partial information using the following search options.
Drug Code (HCPCS, CPT, etc)
Drug Name (Brand or Generic)
NDC Number
What you'll find:
You'll find your organization's coverage policies and reimbursement information:
Drugs that require Prior Authorization are linked to your Organization's Authorization Policy, including criteria and duration of approval
A drug code that includes:
Code description
Current and historical reimbursement rates
ALL drug names and manufactures’ NDCs for each code
NOC (Not Otherwise Classified) coded drugs have current NDC level pricing with effective dating
Drug code related ICD-9-CM and Administration codes as well as related P&T decisions
Information regarding where & how to obtain medications (specialty providers, etc.)
Benefits:
Our site provides your Providers with regularly updated:
Reimbursement rates
Formulary decisions for covered & non-covered drugs & procedures
Prior Authorization forms and criteria
Ordering information
A product of
R•J Health Systems International, LLC PO Box 290616
Wethersfield, CT 06109