Medication Management Module
Medication lifecycle management including prescription tracking, drug interaction checking, adherence monitoring, and formulary management.
4
Pages
4
API Endpoints
4
High-Priority Orgs
4
Requirements
Organization Relevance
MCO: High Health Plan: High ACO: High FQHC: High IPA: Medium PHO: Medium TPA: Medium MSO: Low
How It Works
The medication module maintains a comprehensive medication record for each patient. Prescriptions are tracked from order through dispensing. Drug interaction checking validates safety against current medications and known allergies. Adherence monitoring uses pharmacy claims data to identify non-adherence patterns for intervention.
Requirements
- Pharmacy claims data feed (NCPDP)
- Drug interaction database (First Databank, Medi-Span)
- Formulary management capability
- PBM integration for real-time data
Target Audience
Pharmacists, Prescribers, Care Managers, PBM Liaisons
Pages (4)
| Page | Purpose | Key Features |
|---|---|---|
| Medications Overview | Patient medication dashboard with active prescriptions and alerts | Active medications, Alert indicators, History view, Filtering |
| Adherence Monitoring | Track medication adherence using PDC and other measures | PDC calculation, Non-adherence alerts, Intervention tracking, Trend analysis |
| Drug Interactions | Check for drug-drug and drug-allergy interactions | Interaction checking, Severity classification, Alternative suggestions, Override documentation |
| Prescriptions | Prescription management including e-prescribing integration | Prescription tracking, Refill management, E-prescribing, Prior auth triggers |
API Integrations
NCPDP pharmacy transactionsReal-time benefit check (RTBC) APIDrug interaction check APIFormulary API (FHIR MedicationKnowledge)
Referenced Resources
NCPDP StandardsCMS Part D RequirementsFDA Drug Safety CommunicationsUSP Drug Classification
Expected Results
Improved medication safety, better adherence rates, formulary optimization, and reduced adverse drug events.