Brand vs generic medications Things To Know Before You Buy
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本発明により、医薬品流通市場における、医療機関・保険薬局といった供給者・処方者と、審査支払機関・保険者・被保険者といった需要者の間で、医療用医薬品の処方・購入に関わる取引に関しリアルタイムに当事者間の合意形成の有無を明確にすることが可能となる。これにより、審査支払機関・保険者は医薬品選択に関わる実効的な意思表示の機会を得ることとなり、自らが希望する医薬品処方につき選択肢が拡大、満足度・費用対効果を向上させることが可能となる。これにより、例えば、審査支払機関がより効能の高い医薬品の処方優先順位を上げることで多くの医療機関で当該医薬品が処方され、結果として被保険者間の医療サービスの質やコストの公平性が促進される。また、同等の効能を持つ複数の医薬品の中で最も安価の医薬品の処方が増加することによる保険者・被保険者の医薬品費用の低減、といった効果も得られる。
請求項１に記載の医薬品処方情報照会・配信システムにおいて、医療機関が発行した処方箋に記されている医薬品の保険適用につき、保険薬局からの照会を受付け、処方箋発行医療機関との照会履歴の有無、結果について配信することを特徴とする医薬品処方情報照会・配信システム。
医療機関からの照会後、処方医薬品を確定した段階で医療機関から最終の処方内容が情報システムに送信される。保険薬局から処方箋記載の医薬品の保険適用の可否について照会があった場合には、医療機関との照会履歴の有無、結果を配信する。
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【選択図】図３[PROBLEMS] To supply a procedure for offering a possibility for a health-related establishment / coverage pharmacy to preferentially adopt a medication that an insured / insurance provider or assessment / payment establishment desires to prescribe inside the clinical coverage system. Supplied. [Indicates FOR SOLVING Issues] Entering / Keeping information on alternate options, prescription precedence order information of the insurance company, and problems / expectations for approval of the receipt evaluation by an examination / payment establishment for your medication prescribed by an insurance policy healthcare establishment Inquiries with regards to irrespective of whether insurance plan for prescription drugs is readily available for Every professional medical follow in the suggests and health-related establishment, and whether the inquiries read more match the desired conditions on the insurer / assessment and payment Business dependant on private information for instance signs and symptoms on the insured Usually means to determine whether or not the above inquiry articles won't match the required situations, seek for other drugs that fulfill the required disorders from the drugs specified from the insurer according to the insured's information like signs and symptoms A method getting indicates for notifying a medical establishment instead and prompting the professional medical establishment to reselect prescription contents. [Variety] Figure three Description
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The pharmaceutical prescription information inquiry / distribution program In keeping with claim 1, wherein a number of inquiry histories made by way of the process is distributed to an evaluation payment Corporation and an insurer.
From the pharmaceutical prescription information inquiry / distribution method In keeping with claim one, if the results of dedication would be that the inquiry content isn't going to conform into the input information and specified disorders from the assessment and payment establishment and also the insurer, research and establish the pharmaceutical team that satisfies these Pharmaceutical prescription information inquiry / distribution system characterized by distribution to medical institutions.
Hereinafter, a flowchart of an example of an information inquiry / dedication process will probably be explained with reference to FIG. Very first, the mandatory information is received in the evaluation payer / insurer / coverage health care establishment / insurance policies pharmacy. The information and selected situations to generally be obtained through the assessment payer and also the insurance company are as described earlier mentioned.
When a healthcare institution prescribes medicines, the insured (patient) is examined by a health care provider at the health medical establishment, the health care provider problems a prescription depending on the diagnosis final result, as well as medication is dispensed on the insurance policy pharmacy based on the prescription , Delivered. Regarding declaring the expense of medicines coated by coverage, clinical institutions and insurance plan pharmacies, and so on.
This A Component of the prescription also features the toughness of your drug (the amount of milligrams, for instance) as well as the tablet, capsule, or other sort by which your Health treatment assistance company would really like you to definitely consider it. A Choose Observe recognized as "Disp" refers to this information about how the drug need to be dispensed.