Elizabeth L Warren

US Patent:

20070043589, Feb 22, 2007

Filed:

Apr 29, 2005

Appl. No.:

11/119125

Inventors:

Elizabeth Warren - Louisville KY, US
Timothy Sandman - Louisville KY, US
Jacob Hutti - Louisville KY, US
Jonathan Lord - Louisville KY, US
Julie Whitworth - Louisville KY, US
Elizabeth Shaw - Louisville KY, US
William Fleming - Prospect KY, US

International Classification:

G06F 17/60

US Classification:

705002000

Abstract:

A pharmacy benefits plan is designed such that covered scripts are placed into Groups and allowances are provided for the purchase of scripts within each Group. Each Group comprises scripts for pharmaceuticals that provide medical benefits within a given time frame. A first Major Group is assigned to scripts for drugs that are prescribed for conditions that would otherwise result in further medical treatment and expense if said drugs were not taken by an insured. A second Major Group is assigned to scripts for drugs that are prescribed for conditions that would not normally result in subsequent medical costs if the drugs were not taken. Relatively high allowances are provided for scripts in said first Major Group such that the out-of-pocket costs of a given script will not be a barrier to said insured obtaining and taking said scripts. Relatively low allowances are provided for scripts in said second Major Group such that an insured will be further motivated to ask their doctor about low cost alternative drugs for a given treatment.

US Patent:

20050261939, Nov 24, 2005

Filed:

May 12, 2005

Appl. No.:

11/127857

Inventors:

Kristen Augspurger - Louisville KY, US
Sarah Stephens - Louisville KY, US
Michael Karrer - Louisville KY, US
Kennon Vinson - Louisville KY, US
Mark Flinchum - Louisville KY, US
Inessa Kallik - Louisville KY, US
Megan Elizabeth - Louisville KY, US
Elizabeth Warren - Louisville KY, US
William Fleming - Prospect KY, US
Jonathan Lord - Louisville KY, US

International Classification:

G06F017/60

US Classification:

705002000, 705004000

Abstract:

A Pharmacy Benefits Calculator reads in an insured's prior pharmacy claims history and then calculates said insured's anticipated out-of-pocket costs for one or more pharmacy benefits plans that said insured is eligible to enroll in. Provision is made for an insured to modify their anticipated future pharmacy needs. Provision is also made for an insured to compare their out-of-pocket costs for different alternative drugs, said alternative drugs providing comparable therapeutic benefits. Provision also is made for an insured to substitute a lower cost generic equivalent for a brand drug, when available. Another provision is made for an insured to choose to price drugs at a retail pharmacy store or a mail order pharmacy and determine cost differences. The pricing available from said retail pharmacy store may be based on a price negotiated by an insurance company offering said pharmacy benefits plans.