| CPC G06Q 30/016 (2013.01) [G06Q 10/08 (2013.01); G16H 20/10 (2018.01); G16H 40/20 (2018.01); G16H 70/40 (2018.01)] | 13 Claims |
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1. A computing device of a service provider, the computing device configured to construct a consolidated message, the computing device comprising:
a communication interface configured to receive first information regarding prescription medication from a pharmacy benefit management (PBM) entity in response to a prescription benefit coverage inquiry from a prescriber; and
processing circuitry configured to:
determine whether the prescription medication is supported by one or more operational services provided in association with the prescription medication and provided by a non-dispensing pharmacy, different than a preferred pharmacy of a patient by accessing a listing or record defining prescription medications supported by one or more operational services;
in response to determining that the prescription medication is not supported by one or more operational services, construct the consolidated message containing the first information;
in response to determining that the prescription medication is supported by one or more operational services, obtain second information regarding the one or more operational services from a memory device or a database, wherein the one or more operational services comprises services associated with one or more of: (i) one or more discounts, (ii) supporting compliance with risk evaluation mitigation strategies (REMS), (iii) prior authorization requirements, (iv) drug delivery, (v) financial assistance, or (vi) education, wherein the second information comprises contact information of the non-dispensing pharmacy and details pertaining to the one or more operational services provided in association with the prescription medication; and
construct the consolidated message having a predefined message format and containing both the first information and the second information that have been received from different parties,
wherein the communication interface is also configured to cause the consolidated message to be provided to the prescriber for the prescription benefit coverage inquiry, wherein the consolidated message contains both the first information and the second information in an instance in which the prescription medication is supported by one or more operational services,
wherein the processing circuitry is configured to conserve processing resources and network resources including bandwidth expended to construct the consolidated message relative to the processing resources and network resources otherwise expended to separately provide the first and second information by supporting separate streams of messages between the prescriber or a customer of the prescription and: (i) the PBM entity to obtain the first information in conjunction with a purchase of the prescription medication and (ii) a provider of the operational services in order to identify relevant operational services and to then obtain the second information regarding the one or more operational services that support the prescription medication.
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