Computing device, method and computer program product for constructing a consolidated message
A computing device, method and computer program product are provided to construct a consolidated message. In the context of a computing device, the computing device includes a communication interface configured to receive first information regarding a product from a request processor in response to an inquiry from a source. The computing device also includes processing circuitry configured to determine whether the product is supported by one or more operational services. In an instance in which the product is supported by one or more operational services, the processing circuitry is configured to obtain second information regarding the one or more operational services to construct the consolidated message having a predefined message format and containing both the first information and the second information. The communication interface is also configured to cause the consolidated message containing both the first information and the second information to be provided to the source of the inquiry.
1 . A computing device of a service provider, the computing device configured to construct a consolidated message, the computing device comprising:
a communication interface configured to receive first information regarding prescription medication from a pharmacy benefit management (PBM) entity in response to a prescription benefit coverage inquiry from a prescriber; and
processing circuitry configured to:
determine whether the prescription medication is supported by one or more operational services provided in association with the prescription medication and provided by a non-dispensing pharmacy, different than a preferred pharmacy of a patient by accessing a listing or record defining prescription medications supported by one or more operational services;
in response to determining that the prescription medication is not supported by one or more operational services, construct the consolidated message containing the first information;
in response to determining that the prescription medication is supported by one or more operational services, obtain second information regarding the one or more operational services from a memory device or a database, wherein the one or more operational services comprises services associated with one or more of: (i) one or more discounts, (ii) supporting compliance with risk evaluation mitigation strategies (REMS), (iii) prior authorization requirements, (iv) drug delivery, (v) financial assistance, or (vi) education, wherein the second information comprises contact information of the non-dispensing pharmacy and details pertaining to the one or more operational services provided in association with the prescription medication; and
construct the consolidated message having a predefined message format and containing both the first information and the second information that have been received from different parties,
wherein the communication interface is also configured to cause the consolidated message to be provided to the prescriber for the prescription benefit coverage inquiry, wherein the consolidated message contains both the first information and the second information in an instance in which the prescription medication is supported by one or more operational services,
wherein the processing circuitry is configured to conserve processing resources and network resources including bandwidth expended to construct the consolidated message relative to the processing resources and network resources otherwise expended to separately provide the first and second information by supporting separate streams of messages between the prescriber or a customer of the prescription and: (i) the PBM entity to obtain the first information in conjunction with a purchase of the prescription medication and (ii) a provider of the operational services in order to identify relevant operational services and to then obtain the second information regarding the one or more operational services that support the prescription medication.
2 . A computing device according to claim 1 wherein the processing circuitry is configured to determine whether the prescription medication is supported by one or more operational services by accessing a table defining prescriptions medications supported by one or more operational services.
3 . A computing device according to claim 1 wherein the processing circuitry is configured to obtain second information by obtaining messaging associated with the prescription medication that is to be provided to the prescriber.
4 . A computing device according to claim 3 wherein the messaging identifies a point of contact to provide assistance with respect to the prescription medication.
5 . A computing device according to claim 1 wherein the first information comprises benefit information, wherein the processing circuitry is further configured to determine from the benefit information whether a benefit is government funded, wherein the processing circuitry is configured in a manner dependent upon the benefit not being government funded to determine whether the prescription medication is supported by one or more hub services that identify a discount available for the prescription medication, and wherein the processing circuitry is configured in a manner dependent upon the benefit being government funded to eliminate a determination as to whether the prescription medication is supported by one or more hub services that identify a discount available for the prescription medication.
6 . A method for constructing a consolidated message, the method comprising:
receiving first information regarding prescription medication from a pharmacy benefit management (PBM) entity in response to a prescription benefit coverage inquiry from a prescriber;
determining whether the prescription medication is supported by one or more operational services provided in association with the prescription medication and by a non-dispensing pharmacy, different than a preferred pharmacy of a patient, by accessing a listing or record defining prescription medications supported by one or more operational services;
in response to determining that the prescription medication is not supported by one or more operational services, constructing the consolidated message containing the first information;
in response to determining that the prescription medication is supported by one or more operational services, obtaining second information regarding the one or more operational services from a memory device or a database, wherein the one or more operational services comprises services associated with one or more of:
(i) one or more discounts, (ii) supporting compliance with risk evaluation mitigation strategies (REMS), (iii) prior authorization requirements, (iv) drug delivery, (v) financial assistance, or (vi) education, wherein the second information comprises contact information of the non-dispensing pharmacy and details pertaining to the one or more operational services provided in association with the prescription medication;
constructing the consolidated message having a predefined message format and containing both the first information and the second information that have been received from different parties; and
causing the consolidated message to be provided to the prescriber for the prescription benefit coverage inquiry, wherein the consolidated message contains both the first information and the second information in the instance in which the prescription medication is supported by one or more operational services,
wherein the method conserves processing resources and network resources including bandwidth expended to construct the consolidated message relative to the processing resources and network resources otherwise expended to separately provide the first and second information by supporting separate streams of messages between the prescriber or a customer of the prescription and: (i) the PBM entity to obtain the first information in conjunction with a purchase of the prescription medication and (ii) a provider of the operational services in order to identify relevant operational services and to then obtain the second information regarding the one or more operational services that support the prescription medication.
7 . A method according to claim 6 wherein determining whether the prescription medication is supported by one or more operational services comprises accessing a table defining prescription medications supported by one or more operational services.
8 . A method according to claim 6 wherein obtaining second information comprises obtaining messaging associated with the prescription medication that is to be provided to the prescriber.
9 . A method according to claim 8 wherein the messaging identifies a point of contact to provide assistance with respect to the prescription medication.
10 . A computer program product configured to construct a consolidated message, the computer program product comprising at least one non-transitory computer-readable storage medium having computer-executable program code instructions stored therein, the computer-executable program code instructions comprising program code instructions configured to:
receive first information regarding prescription medication from a pharmacy benefit management (PBM) entity in response to a prescription benefit coverage inquiry from a prescriber;
determine whether the prescription medication is supported by one or more operational services provided in association with the prescription medication and provided by a non-dispensing pharmacy, different than a preferred pharmacy of a patient, by accessing a listing or record defining prescription medications supported by one or more operational services;
in an instance in which the prescription medication is not supported by one or more operational services, construct the consolidated message containing the first information;
in an instance in which the prescription medication is supported by one or more operational services, obtain second information regarding the one or more operational services from a memory device or a database, wherein the one or more operational services comprises services associated with one or more of: (i) one or more discounts, (ii) supporting compliance with risk evaluation mitigation strategies (REMS), (iii) prior authorization requirements, (iv) drug delivery, (v) financial assistance, or (vi) education, wherein the second information comprises contact information of the non-dispensing pharmacy and details pertaining to the one or more operational services provided in association with the prescription medication;
construct the consolidated message having a predefined message format and containing both the first information and the second information that have been received from different parties; and
cause the consolidated message to be provided to the prescriber for the prescription benefit coverage inquiry, wherein the consolidated message contains both the first information and the second information in the instance in which the prescription medication is supported by one or more operational services,
wherein the computer program product is configured to conserve processing resources and network resources including bandwidth expended to construct the consolidated message relative to the processing resources and network resources otherwise expended to separately provide the first and second information by supporting separate streams of messages between the prescriber or a customer of the prescription and: (i) the PBM entity to obtain the first information in conjunction with a purchase of the prescription medication and (ii) a provider of the operational services in order to identify relevant operational services and to then obtain the second information regarding the one or more operational services that support the prescription medication.
11 . A computer program product according to claim 10 wherein the program code instructions configured to determine whether the prescription medication is supported by one or more operational services comprise program code instructions configured to access a table defining prescription medications supported by one or more operational services.
12 . A computer program product according to claim 10 wherein the program code instructions configured to obtain second information comprise program code instructions configured to obtain messaging associated with the prescription medication that is to be provided to the prescriber.
13 . A computer program product according to claim 12 wherein the messaging identifies a point of contact to provide assistance with respect to the prescription medication.