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Pharmacy

Our Pharmacy Review program is designed to manage the fastest-growing area of healthcare — prescription costs. Claims Eval supports appropriate utilization by reviewing each component of every case.
Claims Eval’s Pharmacy Reviews help create treatment plans to assist in weaning and discontinuation of inappropriate medications, always in adherence with evidence-based treatment guidelines.

Our services include:

• Access to Claims Eval’s premier Pain Management and PM&R Specialists
• Clinical summaries
• Peer outreach to prescribers
• Summary of recommendations specific to each medication
• Determination supported by evidence-based rationale whether or not there is agreement with the prescriber
• A “next steps” and documentation of the reviewer and prescribers’ stance
• Total Cost Savings
• Concurrence letter to the treating prescriber(s)