Pharma Announced Tool for Specialty Drug Decision Making

NORTHRIDGE, Calif. - March 6, 2014 - PRLog -- Since 1994, the Pro Pharma Pharmaceutical Consultant’s JCode Calculator™ has been providing clients with medical and pharmacy management support.  Clients have had the benefit of checking pricing according to AWP, WAC, ASP and a supplement for specialty MAC pricing.

“Based on the specified HCPCS/CPT unit, this tool allows you to research a unit price based on date of service, without making any further calculations,” said Craig Stern, PharmD, MBA, President of Pro Pharma. “For the last nineteen (19) years, the Pro Pharma JCode Calculator™ has been and continues to be used as a resource and management tool for pre-certification, validation of submitted ICD-9/ICD-10 with approved indications, compliance with FDA approvals, compliance with package labeling usage and frequency and verification of submitted quantities”.

Pro Pharma JCode Calculator™ users take advantage of the complete and exhaustive list of HCPCS/CPT codes, including all drug specific codes, radiolabeled codes, and glucose monitoring devices and supplies.  In addition, other DME items will be added later this year.

JCode Calculator™ (http://propharmaconsultants.com/products/jcode-calculator/)  reference database also includes, but is not limited to:

• HCPCS Code (including A, J, Q and S Codes);
• Current Procedural Code (CPC, formerly CPT) for drugs;
• Average Wholesale Price (AWP**) by package and pricing unit;
• National Drug Code number (NDC);
• Average Sales Price (ASP);
• Brand Name;
• Generic Name;
• Strength;
• Package Size;
• Manufacturer;
• WAC (Wholesale Acquisition Cost).

** Other cost bases, besides AWP are also available.

Billers, claim examiners, medical and utilization departments, Worker’s Compensation insurers, Health Plans and public entities have all benefited from the relevant ease of use and value of this tool.  In addition, various affordable pricing options including subscription and other various daily, weekly, and monthly options are available for purchase on the Pro Pharma Shopping cart at [http://store.propharmaconsultants.com/]

The JCode Calculator™ Training is included with each subscription for ALL new customers and ongoing training and education is available and provided by Dr. Craig Stern, President of Pro Pharma on a scheduled as needed basis.
If you are interested, we would appreciate the opportunity to demonstrate the power of these tools and the time-saving ability to answer your management issues and questions.

Please visit Pro Pharma website at http://www.propharmaconsultants.com  for more complete information.

For a Free Web Demo please contact Carol Stern, CEO of Pro Pharma at Carol.Stern@propharmaconsultants.com or call 888-701-5438.

About Pro Pharma Pharmaceutical Consultants, Inc.

PRO PHARMA is a multi-service, woman owned, privately held consulting firm offering a vast portfolio of services to public and private entities including self-insured employers, Taft Hartley Trusts and unions, public employers, for-profit hospitals and integrated health networks, health care insurance companies, worker's compensation insurers, small-to-medium sized HMO's, and physician groups.

As a primary service to plan sponsors for achieving below trend results, PRO PHARMA provides an integrated program of administrative process improvements, clinical quality oversight, and provider/member education.

Pro Pharma’s Consulting services are grounded in the use of data and the communication of that information to define benefit trends, drivers and other analytical indicators.   PRO PHARMA markets Biotech Modeling™, Invoice Screening ™, JCode Calculator™, Quality Management Program™, Rx MAC List™, Treatment Calendar™, and Pro Pharma Suite of Tools™. The Company directly markets its products in the U.S. and collaborates with partners to reach international markets.

About Quality Management Program™ (QMP)

Pro Pharma’s Quality Management Program™ (QMP) is a multi-faceted approach that targets the pharmacy benefit cost and quality from multiple directions; namely, physician prescribing decisions, member demands, pharmacy oversight and patient education, HR rep education, and messaging to actives/retirees.  The program is focused on providing patients and physicians specific tools designed to make more informed purchasing decisions that expand member co-pay dollars.  The bottom line is:  payers (self-insured, employers, Trusts, etc.) lower their pharmacy trend.

About Invoice Screening™

About 10% of drugs spend is being paid from PBM Invoices, and should have been rejected by clients prior to payment.  Pro Pharma’s Invoice Screening™ analyzes invoices against:  formulary compliance, compliance with MAC pricing, eligibility, claims pricing, invalid claims, and excluded benefits, pre-payment as an Accounts Payable function.  This ensures that clients only pay for valid claims, which saves time and dollars in the long run.

About Treatment Calendar™

Pro Pharma’s Treatment Calendar™ is a proprietary program comprised of Artificial Intelligence rule sets, which allow for quality and cost comparisons by peer-to peer, peer-to-best in class, peer to national norms, and peer to local norms.

Pro Pharma uses Clinical Protocols to analyze patient encounter data and diagnoses for required exams, tests, and medications.  In this way, physician practices can schedule the applicable services for each patient and then review them for exceptions.

Treatment Calendar™ functions in the following manner as a:

- Quality tool for benchmarking
- Tool to align provider and payer incentives by focusing on actionable patient specific quality improvements
- Risk management tool to identify therapy that doesn't comply with national norms
- Tool to graphically identify gaps in compliance

About Rx MAC List™ (Pharmacy Maximum Allowable Cost™)

The Cost of Drugs is Skyrocketing.  Pro Pharma develops and maintains customized MAC Lists for clients to help manage the effects of rapid and high increase of drug prices.

About Pro Pharma Suite of Tools™

Pro Pharma’s Suite of Tools identifies the cost and clinical issues for both Pharmacy and Medical, and formulates management plans and objectives to develop action plans to address “prescriptions for change”.

Please visit Pro Pharma Pharmaceutical Consultants, Inc. website for more complete information.