In the conventional payment examination system, a health care institution concerns a prescription and prescribes and pays to the drug to the patient at an insurance plan pharmacy, and many others., and afterwards the evaluation ask for for that health-related practice is built on the examination payment institution. However, it is not possible to guage the suitability of the application contents beforehand for health-related establishments. Moreover, the insured / insurer (health coverage association, and many others.) that bears the cost of prescribed drugs isn't thoroughly educated about information on drugs including efficacy and rate, and it is completely knowledgeable in regards to the existence of various possibilities. It is frequently not done. For this reason, the selection of medicines is totally left for the judgment of a healthcare institution, and it really is tricky to physical exercise the correct to decide on medicines as a price bearer as well as a consumer.

In basic conditions, the prescription is some paper which can be created throughout the registered health care practitioner (RMP) based on the customer's ailment difficulty.

以下に、図４を用いて情報照会・判定の手順の一例のフローチャートを説明する。まず審査支払機関・保険者・保険医療機関・保険薬局から必要な情報を取得する。審査支払機関及び保険者から取得する情報・指定条件は前述の通りであり、医療機関・保険薬局からは所在地等の基本情報に加え、使用希望薬剤情報・医薬品取扱情報・同在庫情報等を取得し、取得したデータを格納する。

At present, an information procedure that replaces the creation and application of the above mentioned-mentioned receipt using an Digital process from a conventional prepared process has currently been place into realistic use. Conversely, in the United States, Pharmacy Advantage Management (“PBM”) is a business that manages dispensing charges for policyholders.

従って、本発明の課題は、わが国の医療保険制度の中で、医療サービス受給の公平性を維持しつつ、被保険者・保険者もしくは審査支払機関が、代替品の中から最も強く処方を希望する医薬品を、医療機関・保険薬局が、他の代替品の中から優先的に採用する機会を提供することを可能にさせる、医療用医薬品処方情報照会・配信システムを提供することにある。

The prescription information inquiry / distribution method according to declare one, accepting inquiries from insurance pharmacies for insurance plan protection of prescribed drugs explained in prescriptions issued by health-related establishments, and existence of inquiry background with prescription issuing professional medical institutions Pharmaceutical prescription information inquiry and distribution technique characterised by distributing results.

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Inside the planning stage from the technique, the evaluation payer along with the insurance company enter required information and specify conditions. Samples of information entered by the evaluation payer as well as the insurance provider and the desired disorders are depending on information over the insurer matter to evaluation, conditions such as the insured's age, gender, constitution and past historical past There are assumed health-related price factors calculated for website each personal sickness and symptom divided, drug price tag criteria of applied drugs, insurance plan factors, together with other facts expected for evaluation of health care payment particulars.

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Within the prescription information inquiry / distribution process Based on claim 1, once the prescription medication inquired through the professional medical establishment for every professional medical observe satisfies the selected conditions from the insurer / assessment / payment establishment, the handle with the professional medical establishment or insured man or woman Drug prescription information inquiry / distribution technique that accesses and confirms the dealing with information / inventory information of the drug at quite a few insurance pharmacies close to the pharmacy.

And when you receive an inquiry about professional medical prescriptions from the health-related institution for every specific health-related practice, insured human being information (healthcare insurance policies relevant information, information on sickness / signs and symptoms, etcetera.

Hereinafter, a flowchart of an illustration of an information inquiry / perseverance treatment is going to be described with reference to FIG. To start with, the required information is obtained with the evaluation payer / insurance provider / insurance plan health-related establishment / insurance coverage pharmacy. The information and selected circumstances to generally be obtained with the examination payer along with the insurance provider are as explained over.

have the possible of remaining abused, and that can lead to very well getting threats from Destructive effects if taken incorrectly,

請求項１に記載の医薬品処方情報照会・配信システムにおいて、判定の結果、照会内容が審査支払機関及び保険者の入力情報や指定条件に適合しない場合には、これらを満たす医薬品群を検索・同定し、医療機関に配信することを特徴とする医薬品処方情報照会・配信システム。