Preferred in network pharmacies to lower drug spend and promote patient safety
Direction of Care (DOC) refers to workers’ compensation regulations that allow a payor to choose the pharmacy network or providers a patient must use for their injury-related prescriptions. Five states − California, Connecticut, New York, Minnesota and South Carolina – have varying regulations that allow pharmacy DOC (and more states are coming). This makes it difficult for payors to navigate in their attempts to drive more pharmacy scripts in network.
The MyMatrixx by Evernorth® DOC Solution simplifies the process by guiding patients to use our national, preferred DOC network of trusted pharmacies to lower client drug spend and promote patient safety.
The MyMatrixx DOC Solution saves clients on average $70 or greater per script*
The MyMatrixx DOC Solution delivers:
Network optimization for safety & savings
+ Directs patients to a national network of trusted pharmacies
+ Excludes out-of-network (OON) providers, third-party billers, and flagged pharmacies
Flexible eligibility management
+ Allows the client to include or exclude DOC participation at multiple levels
+ Integrates with our portal, MyPassport®, for real-time status and communication visibility
Strengthened compliance
+ Rejects prescriptions from non-DOC pharmacies and delivers a clear message to pharmacies
through managed communications and EOBs
+ Ensures strict adherence with no override allowed
Automated communication & transparency
+ Meets state-specific requirements
+ Includes communications to keep patients, prescribers, pharmacies and billers informed
For more information, download our DOC Solution flyer or contact the MyMatrixx steam at sales@mymatrixx.com.
*Client savings may vary from the MyMatrixx book of business average based on DOC state participation.