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The rising cost of specialty drugs and the inefficiencies of a manual processes have put a renewed focus on finding the best way to manage pharmacy costs. TriZetto's Pharmaceutical Utilization Management Solution automates the desktop prescription-to-approval process, helping payers reverse pharmaceutical cost trend and manage the next generation of pharmaceuticals.
TriZetto has partnered with Sanovia to integrate the Facets and QNXT core administration systems with Sanovia's clinical decision-making tools (PA-Logic, ePA-Logic) and automate pharmaceutical utilization management. This solution integrates medical claims, eligibility, benefit, formulary and provider data; automates the review and approval process workflow; integrates clinical-decision criteria and evidence-based guidelines; and enables providers, members and payers to collaborate in drug selection. These capabilities delivers the complete pharmaceutical utilization management solution that payers need in order to increase administrative efficiency and staff productivity, improve cost and quality of care, boost patient and member satisfaction, and reduce costs.
With cost-containment more important than ever, plans that move quickly to integrate pharmacy with administrative operations will gain a competitive advantage through decreased costs and improved quality of care.
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Information
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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Related Documents:
- Rx UM White Paper
Automating Pharmaceutical Utilization Management: The Solution to Rising Costs, Greater Efficiency and Better Quality Care
- Rx UM / Sanovia Press Release
TriZetto, Sanovia Join Forces To Offer First Integrated Platform That Helps Payers Control Pharmacy Costs
TriZetto Related Solutions:
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