Pharmacy

Pharmacy Benefits Management (PBM)

 

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Mitchell ScriptAdvisor, formerly PMOA, Inc. is not just a processing center that contracts with pharmacies. Rather, it's a PBM program managed by expert pharmacists with years of experience. They also meet our client needs with a network of nationwide pharmacies, door-to-door delivery and one-on-one service.

Generic medications are mandated and save an average of up to 55% over brand-name medications. In workers' compensation, drug therapy constitute approximately 8% to 15% of paid medical benefits, so it is critical that this expense is monitored closely. Mitchell ScriptAdvisor also offers a “first fill” program and customized formularies to help further reduce cost. Their on-call specialists answer the patient’s questions as needed.

All prescriptions are screened to ensure that:

  • Medications are prescribed only by authorized physicians
  • All prescribed medications are related to the injury
  • Medications adhere to the customized formularies
  • Premature refills or duplicates are not distributed
  • DUR edits check for drug to drug interactions

 

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  • More than 60,000 pharmacies can be accessed through Mitchell ScriptAdvisor's retail pharmacy program, including four full-time pharmacists on staff and on call. 
  • Mitchell ScriptAdvisor monitors high-cost claims for any abuse. It’s the ideal program for first-fill and ongoing maintenance drugs for workers' compensation injuries.
  • Mitchell ScriptAdvisor's flexible network allows for new pharmacies to be added instantaneously.
  • Service center representatives available 365 days a year.
  • Real-time prescription management for fewer phone calls from the pharmacies, online adjudication of claims and built-in bill review.
 
  • Mitchell ScriptAdvisor's home delivery program provides ASC's clients the convenience and clinical support from Mitchell ScriptAdvisor's in-house pharmacist and technician staff.
  • 48–hour turnaround as opposed to industry standard of 7 to 10 days.
  • Prompt delivery with no out–of–pocket expenses.
  • Streamlined delivery requires no paperwork from claimant.
  • Any and all necessary medications delivered.
        
  • Mitchell ScripAdvisor and ASC can help search for a pharmacy by zip code.
  • Use the default mileage or change it to the number of miles you are willing to travel, and the locater will only suggest those pharmacies that are within that distance.    

 

 

 

 

 

 
 

 

 

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"Through ASC and my adjuster, my company has a firm handle on injury/illness prevention and education, along with an incredible reduction in the amount of claims, costs and overall expenses." Newcor, Inc.