SmartAlts®: Providing Cost-Effective, Clinically Relevant Alternatives through EHRs

Although today’s current electronic prescribing systems have the technology in place to display alternatives to physicians during medication selection as part of their workflow, often only basic data is provided. Without access to information such as copays and clinically equivalent options, physicians don’t have the necessary tools to choose prescriptions that will best meet their patients’ needs. 

The True Cost of Limited Access to Actionable Data

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Physicians

  • Field unnecessary callbacks

  • Write prescriptions for not covered or too expensive drugs

  • Waste administrative time fixing avoidable problems

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Patients

  • Can’t get needed medications due to coverage or cost issues

  • Abandon prescription treatments

  • Experience suboptimal outcomes without necessary medication

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Payers

  • Expend resources on unnecessary prescription administration issues

  • Risk lower Medicare Part D STAR ratings

  • Respond to frustrated providers and members who need better information

Pharmacies

Pharmacies

  • Don’t receive clean scripts from physicians

  • Must deal with unpleasant patient surprises regarding drug costs

  • Handle callbacks due to prescription pricing or coverage restrictions

Typical Alternatives Display within Electronic Health Records

Prescription searches within EHRs typically return a bare minimum of information such as formulary status, tier level, and quantity limits. If alternatives information is included, physicians usually can only view the names of drugs within the same therapeutic class and basic benefit information.

Without specific information such as copay and clinical equivalents, physicians are unable to choose the best medication for their patients’ health and fiscal needs. The benefit overview also lacks critical information such as plan limitations, preferred status, and mail order savings, resulting in patient callbacks, missed savings opportunities and frequent prescription rewriting.

BenMedica’s SmartAlts Display

SmartAlts provides clinical relevance and copay information for alternatives, bypassing cumbersome processes for researching alternatives and eliminating the need for callbacks and prescription rewriting. With SmartAlts, physicians can select the most clinically appropriate medications the first time, increasing patient adherence and improving outcomes.

In addition to copay information and clinical equivalence, SmartAlts provides more complete benefit information, enabling prescribers to have a fuller picture of patient benefits and coverage restrictions. When physicians understand and prescribe within plan limitations, payers save money by paying for preferred drugs and avoid the administrative burden of helping doctor’s offices find covered drugs.

Here is how alternatives information appears with BenMedica’s SmartAlts.

BenAlts®: End-User View

BenMedica’s patent-pending drug alternatives processing, BenAlts, allows payers to manage and view the expected drug alternatives to support any use like mobile, call center, e-prescribing, real-time prescription benefit check, and member portals to ensure a consistent message to all stakeholders.

Below is an example of the interface available to payers for customizing alternatives information displayed to physicians.

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Put BenMedica’s SmartAlts to Work for You

Contact us to learn more about how we help PBMs and Health Plans save money by providing enhanced alternatives information to prescribers. Visit our getting started page to see how quickly you can begin reducing your drug spend.