MERLIN PHARMACY CLAIMS PROCESSING PLATFORM

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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

Pharmacists' hands
Prescription Drugs
Pharmacy Counter

PRIOR AUTHORIZATION

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.

Hands on Computer Keyboard
Detoxification
Globalization concept

BENEFIT CHECK

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.

UTILIZATION MANAGEMENT

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.

NETWORK MANAGEMENT

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

Pharmacist
Business Partners at Work
Social network concept
Pharmacist  in aisle of 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.

SPECIALTY DISTRIBUTION

Simplifying the process for getting Specialty drugs to patients.  Offering integrated tracking and patient communications.

 

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