MERLIN PHARMACY CLAIMS PROCESSING PLATFORM
Powered by Artificial Intelligence
Revolutionary Pharmacy Claims Processing Platform
Highly Adaptable & Scalable
Able to process millions of transactions per second
Easily Integrated with legacy Pharmacy and Healthcare Systems
PHARMACY BENEFIT MANAGEMENT SOLUTIONS
Technologies to Manage Pharmacy Benefits
Simplifying the review process for Prior Authorization
DRUG THERAPY MANAGEMENT
Enabling Health Plans and Employers to maximize performance of drug benefits
FORMULARY AND REBATE MANAGEMENT
An integrated formulary management platform providing enhanced self-service and full-service solutions supporting innovative rebate strategies with managed formularies.
Benefit Check gives prescribers visibility into your members' benefit information providing price transparency to your members at the point-of-care, saving them and your plan on drug spend, and enabling you to make better, faster decisions with actual outcomes analysis and data visualization.
An integrated approach to drug utilization management assisting health plans in manage the complexity of utilization management focused on maximizing member benefit at the lowest cost. Our standard utilization management edits are designed to promote the safe, rational use of drugs in areas such as quantity limits, age edits, gender edits, duplicate therapy, and drug interactions.
Optimizing pharmacy benefits to maximize member options and to reduce health plan costs. Offering integrated health and wellness support for high risk populations.
INTEGRATED TGRX SPECIALTY PHARMACY MANAGEMENT SOLUTIONS
Technologies to Manage Specialty Pharmacy
SPECIALTY INVENTORY MANAGEMENT
Simplifying the review process for managing Specialty Inventory. Know exactly how much product is on hand and where it is. Effectively manage lots and expirations.
SPECIALTY FINANCIAL MANAGEMENT
Simplifying the Financial processes of Specialty Drugs Management. Offering numerous financial management reports
SPECIALTY PATIENT ENGAGEMENT & MANAGEMENT
Simplifying processes for managing Specialty patients. Offering easy to use templates for patient follow-up and simple to use system workflows. Fully integrated Hippa patient texting.
Simplifying the process for getting Specialty drugs to patients. Offering integrated tracking and patient communications.