multi-tiered plan design
It’s all based on what is best for the employer and their employees. Starting with a standard formulary, the DirectCompRx process allows for customization at the workers’ compensation, employer or patient level.
Our comprehensive patient level customization sets us apart from our competitors. Plan edits, management reporting, drug utilization review, electronic eligibility updates and EDI billings are all components of our unique formulary management blueprint. This encourages clients to control both financial and clinical edits while simultaneously monitoring drug utilization at the point of fill.
In addition, generic substitution and utilization control options included in the employer plan matrix allow each client to customize generic substitution requirements. Using these options, DirectCompRx is able to monitor, track and manage generic utilization at the point of fill, and to require pre-authorization when "Dispense as Written" values fall outside the accepted range.
- Customized formulary design at several levels specific to you
- Control authorization for drugs outside formulary design
- Maximize generic substitution
- Program control
- Reduced cost