Health & Human Services

Pharmacy Management Applications

You want to simplify benefits management. Detect abuse in prescription practices. Easily add new benefits to your existing pharmacy benefits management systems. And make changes in your system in real time.

Unisys can help. We offer pharmacy point-of-service, prospective drug utilization review and drug rebate systems designed to support pharmacy benefit management.

• Unisys Pharmacy Point of Service lets you submit claims for payment electronically. It offers full pharmacy claims adjudication—including point-of-sale (real-time), encounter batch, paper, suspended claims, and adjustments. It also provides near real-time updates of critical support files from other application system components.
• Unisys Prospective Drug Utilization Review (UniDUR) streamlines clinical audits associated with claims processing. Its functions include early refill, ingredient duplication, high dosage, drug interaction, late refill, therapeutic duplication, pregnancy precautions and duration of therapy. UniDUR is user configurable to reflect state policy and parameter settings.
• Unisys Drug Rebate Management System provides information in a standard format—to apply adjustments automatically, and store and reconcile invoices at the line-item level.  Its controls and data access makes it easier to gather information when resolving disputes. It also calculates prior-period adjustments, automatically post invoices, groups drug manufacturers into “drug families,” performs online searches at the claim level, and calculates outstanding balance on demand, including interest owed-to-date.

Streamlining your pharmacy benefits management requires visibility. And with our 3D Blueprinting approach, we can help you gain the visibility you need to proactively deal with change. Any change, anywhere in your organization. Because we help you see the connections among your strategy, processes and infrastructure.

See how we can help you identify opportunities to simplify the process of pharmacy benefits management. And become more secure and agile at the same time. Contact Unisys today.