The key focus of our managed care division's medicine management programme is to manage the risk associated with acute and chronic medical benefits of a client's portfolio. We achieve this with medical management systems, focusing on medicine prices and usage without compromising either access to appropriate drugs or the quality of the clinical outcomes.
The following tools ensure that appropriate and cost effective medication management systems are in place for our members:
- Chronic Medicine Management: Drug Utilisation Review
- Medicine Exclusion List (MEL)
- Medicine Price List (MPL)
- Prescribed Minimum Benefits (PMB)
- PESA File
- Drug Utilisation Evaluation (DUE)
