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Pharmacy Network Administration
Pharmacy Management Program

MHHNP partners with several pharmacy benefit management companies to provide nationwide pharmacy access to it’s clients.

MHHNP can tailor your prescription drug program based on your employee demographics, utilization thresholds, and your healthcare trends.

With access to over 50,000 pharmacies across the United States, including all the major retail chains, your employees will have the comfort and convenience of knowing they have coverage whenever or wherever they may need it.

We offer several programs to aid in controlling costly prescription benefits. Some of these programs include:

Mandatory generic usage
Member pays cost difference between generic and brand

Prior authorizations and quantity limitations
Certain drugs require prior authorization to ensure medication is appropriate for given diagnosis

Age limitations
Certain drugs require prior authorization to ensure medication is appropriate for given diagnosis based on age

Drug to drug interaction alerts
Compares all active prescriptions to prevent negative drug interactions

Refill limitations
Prevents over utilization and potential abuse

Duplicate drug class alerts
Prevents over utilization and potential abuse

Specialty drug programs
Programs designed around high-cost therapeutic agents such as injectibles

Two of our major pharmaceutical partners are:

Advanced PCS, a Caremark company

Walgreens Health Initiatives

 



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