Frequently Asked Questions
General Questions
Physician Access Questions
Technical Questions
General Questions
Who is MedImpact?
MedImpact links patients, pharmacists and physicians together, helping ensure the appropriate use of medication for each individual based upon their personal medication profile, pharmacy benefit coverage, and best clinical practices. MedImpacts' products, programs and services are designed to help control total healthcare costs, improve quality of care and increase member satisfaction.
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Physician Access Questions
What is Physician Access?
With Physician Access, physicians can access patient information on-demand. With this online reporting tool, physicians can now base critical health decisions on complete and concise information – without relying solely on potentially inaccurate, patient-supplied health information. Our Physician Access online reporting tool lets physicians view and print utilization reports for each patient, complete with drug refill histories over the past 12 months.
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What types of reports are available via Physician Access?
Reports available through Physician Access include:
- Compliance Report with a graphical representation of fills and refills for the last 12 months
- Therapeutic category and name of dispensed medication
- Fill date
- Prescription number
- Quantity, days supply and dose per day
- Compliance rate
- Claim History Report
- Quantity, days supply, and dose per day
- Name and phone number of prescribing physician
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Where do I obtain patient ID?
The Patient ID may be found on the patient's Member ID Card.
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What is a person code?
The person code is a unique family member identifier. Some plans use the same insured number for each family member and then attach a person code at the end of the number as a unique identifier for that member.
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How was the Compliance Rate calculated?
The Compliance Rate is calculated by dividing the actual days supply by the duration. Actual Days Supply* = (sum of all days supply) - (days supply of last fill) - (overlapped days supply). For example, if there are two drugs before the last fill, each 30 days supply, overlapped for 10 days, the actual days supply will be 50. The Duration = the number of days between the first fill and the last fill (the last fill is used only to determine the end date of the compliance period, but not considered part of the calculation).
*The maximum allowable days between two fills is defined by the plan. If the maximum days between two consecutive fills exceeds the defined (max days between fills), and there are at least two more fills remaining, the compliance rate will be calculated for the remaining days.
**To calculate the Compliance Rate between drugs and the drug name, days supply and quantity must be the same. If the drug name is the same, but the quantity/days supply changes, a new calculation will be started, since this is considered a new therapy.
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What do the dots represent on the Compliance Report?
The dots represent a rolling 12 month graphical display of prescription refills. Dots that appear at the beginning of the column were filled early in the month; the middle represents the middle weeks, and a dot at the end of the column represents a prescription that was filled at the end of the month.
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Why does the Primary Care Physician field have the entry "not on file"?
A primary care physician will only appear on the report if that information is stored in our files.
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Why don't I see all of the medications for my patient?
Access to member information is limited to individual state regulations and the Health Plan's specifications. In some cases you may not see some medications if state regulations or product specifications are in place. Further, medications paid out of pocket may not be reflected in our system.
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How is the days supply calculated?
This is the estimate of how many days a prescription is intended to last and is computed by dividing the number of doses in the prescription by the number of doses per day.
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Who decides what is a maintenance drug?
First Data Bank determines if a drug is categorized as a maintenance drug.
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On some entries, the Prescriber is "not on file." Why is that?
A Prescriber name will only appear on the report if that information is stored in our files.
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Technical Questions
What browser should I use?
The MedImpact Physician Support Center will perform best if you use Microsoft Internet Explorer 5.5 or higher. Visit microsoft.com for Internet Explorer upgrades.
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What additional advantages can I expect from registering online?
The MedImpact Physician Support Center is frequently updated to feature prescription benefit and drug coverage-related information as well as self-service tools to help physician providers provide quality, cost-effective pharmacy services to members.
With an easy, one-time registration, you will have access to patient compliance reports and pharmacy claims history. Once you are a registered user, all you need to do is sign in with a username and password each time you visit the MedImpact Physician Support Center.
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