This report provides detail on an individual patient/member’s pharmacy usage.

 

 

Target Audience for this Report 

Finance Department and CFO, Pharmacy and Therapeutic Committee, and Medical management/Care Management Department.

 

Business Processes Impacted by this Report

This report provides an individual, patient/member level view that is relevant for cost and care  management.

 

Detail and Definitions

Navigation on this report is limited, in that it is provided as member/patient level detail for inspection and validation.   Users can navigate to other aspects of the member/patient record via the buttons in the header.

 

Header

  • Member Number
  • Member Name
  • Total Scripts:
  • Total Rx Paid
  • Paid/Script
  • Rx Gaps

 

Top Prescribers for Member

  • Provider Name
  • Specialty
  • Scripts
  • Plan Paid

 

Brand Type

  • Type
  • Scripts
  • Paid

 

Medication Adherence Calendar – Days supply by Drug by Fill Month

  • Drug Class
  • Drug
  • Month and Year by Adherence

 

Top Drugs by Cost

  • Type
  • Drug Name
  • Total Paid
  • Scripts