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In 2011, Sedgwick released an enhanced pharmacy benefit management program aimed at quality healthcare, prescriber education, and cost benefit for clients. In order to identify the impact of this program and our approach to clinical drug management, we prepared our 2012 Drug Trends Report as a look back at the 2012 outcomes for clients that transitioned to our program in 2011.
The program's differentiators include:
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Injury specific formulary
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Acute and chronic based formulary
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High risk profiling
- Trend management
- Physician outreach heavily focused on prescriber education
- Examiner and nurse notifications
- Duration specific
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Adverse drug trend notifications delivered to the Sedgwick claims examiner or nurse electronically
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Prescription drug clinical management, with custom client referral criteria
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Expanded network, which captures third party billing entities, physician dispensers, occupational health clinics – improving penetration by at least 20%
We continue to enhance our prescription drug management strategy. Throughout 2013, Sedgwick will provide updates regarding our drug management approach, and the drug safety and cost management solutions we provide for our clients. Read our 2012 Drug Trends Report for a more detailed look at the improvements our customers experienced last year as a result of our advanced drug management strategies.
For questions, please contact your Sedgwick client services director.
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© 2013, Sedgwick Claims Management Services, Inc.
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