Our Pharmacy Benenfit Manager Processes
Daily Processed Rx Scripts
Transactions (Unlimited Scale)
Benefit Designs
Managed Member Pharmacy Spend
URAC Accelerated Pharmacy Benefit Manager (Highly Respected)
Certification of Prescriptions Records
| Fill Date | Medication | NDC | Qty | Days supply | Amount | Rx Number | Pharmacy | Physician |
|---|---|---|---|---|---|---|---|---|
| 7/7/2022 | ORPHENADRINE ER 100 MG TABLET | 43386048024 | 30 | 30 | $20.00 | xxxxxxx | CVS Pharmacy | J.JONES MD |
| 6/7/2022 | ORPHENADRINE ER 100 MG TABLET | 43386048024 | 30 | 30 | $20.00 | xxxxxxx | CVS Pharmacy | J.JONES MD |
| 8/7/2022 | ORPHENADRINE ER 100 MG TABLET | 43386048024 | 30 | 30 | $20.00 | xxxxxxx | CVS Pharmacy | J.JONES MD |
| 9/7/2022 | ORPHENADRINE ER 100 MG TABLET | 43386048024 | 30 | 30 | $20.00 | xxxxxxx | CVS Pharmacy | J.JONES MD |
| 10/7/2022 | ORPHENADRINE ER 100 MG TABLET | 43386048024 | 30 | 30 | $20.00 | xxxxxxx | CVS Pharmacy | J.JONES MD |
| 11/7/2022 | ORPHENADRINE ER 100 MG TABLET | 43386048024 | 30 | 30 | $20.00 | xxxxxxx | CVS Pharmacy | J.JONES MD |
| 12/7/2022 | ORPHENADRINE ER 100 MG TABLET | 43386048024 | 30 | 30 | $20.00 | xxxxxxx | CVS Pharmacy | J.JONES MD |
| 1/7/2023 | ORPHENADRINE ER 100 MG TABLET | 43386048024 | 30 | 30 | $20.00 |
xxxxxxx | CVS Pharmacy | J.JONES MD |
Your confidential health information is legally protected by law under the HIPPA statues.
It must be strictly used only under the guidance of all the HIPPA protections.
Your Accumulated Personal Prescription History Spreadsheet can only be used by your authorized personal representative or confidentially by parties who have been authorized t0 use your information. For example: it may be used in your case and to assist.
Your Authorized / Representative / Insurance conpanies / Medical expense reimbursement / IRS reporting and applicable needs in a HIPPA compliant format.
If you have recieved this information and are not an authorized party, or if you believe this message has reached you in error, it is imperative that you destroy the information immediately. Following the destruction, please notify us at your earliest convenience to confirm that the action has been completed.
