Express Scripts FoundationServices
Clinical Safety and Savings: The Bottom Line on Program
Quality and Injured Worker Care
Express Scripts Workers' Compensation clinical programs are geared toward safety and savings.
Concurrent Drug Utilization Review (DUR) — Identifies potentially inappropriate prescriptions before dispensing
Step Therapy — Encourages the use of safe and effective first-line prescription drugs before trying more expensive brand-name alternatives
Retrospective DUR — Identifies potential medication-related issues — fraud and abuse, duplicate therapies, high utilization of controlled substances, muscle relaxants, sleep medications and other drugs — in an injured worker's prescription history and communicates any concerns via letter to the prescribing physician
Physician Outreach Program — Clinical communications aimed at prescribing doctors to encourage the use of generics, when appropriate, and promote cost-effective therapy
ScriptAlert — Designed to identify claims with increased risk for clients due to potentially inappropriate patterns of prescription-drug use; clients may use these reports to help evaluate the need for proactive interventions, such as case management or independent medical examinations
Pharmacist's Drug Review (PDRx) — Review of an injured worker's medication history by a licensed pharmacist to evaluate appropriateness of dosages, possible duplication of therapy, potential drug interactions or other possible issues
