Allwell has systems in place for all of our members to make sure that they are getting safe and appropriate care. Our programs include real-time and historic review of prescription drug claims to reduce medication errors that cause adverse drug interactions, to prevent use of possibly unsafe drug doses, and to avoid duplicate drugs that are unnecessary or may be inappropriate for your age. Our reviews are especially important for members who have more than one doctor who prescribes their medications, use more than one drug, or have more than one pharmacy.
Our plan has programs in place to ensure you receive safe and appropriate care. Our programs include current and historic review of claims. These reviews are in place to reduce drug errors that cause adverse drug interactions. Our reviews are important if you use more than one drug, have more than one pharmacy, or have more than one doctor who is prescribing drugs.
Drug and Utilization Review Programs
When a pharmacy sends a prescription claim, we look at the claim for:
- Age related problems.
- Overuse and underuse.
- Issues with other drugs you take.
- Issues with a disease you have.
- Wrong drug dosage.
- Wrong length of therapy.
- Drug/allergy issues.
- Abuse or misuse.
For questions about our quality programs contact Member Services.