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A patent application by Truveris Inc. describes a method and system for reimbursing and reconciling pharmacy-related transactions. The system involves a decentralized network of computer systems that receive data about transactions between patients, pharmacies, and wholesalers. The data is used to generate reimbursement claims, which are validated by multiple computer systems in the network. The validated claims are added to electronic ledgers and submitted for fulfillment. The system aims to provide transparency, efficiency, and security in the reimbursement process, while also allowing for data analysis and scalability. [Extracted from the article]

Flipt LLC, a company based in Jersey City, New Jersey, has been granted a patent for a system that modifies data packets in a health claim processing system. The goal of the patent is to reduce the cost of prescription drugs by allowing consumers to access lower prices while still using their health insurance and pharmacy benefit plan. The system operates within existing pharmacy infrastructure to minimize disruptions. The patent application, filed by Aaron Greenblatt for Flipt LLC, describes a system for routing pharmacy prescription fulfillment requests, including features such as verifying prescription authorization, determining out-of-pocket costs, and providing rewards to users. [Extracted from the article]

Truveris Inc. has been issued a patent for systems that facilitate the reimbursement and reconciliation of pharmacy-related transactions. The patent describes a method in which data about a transaction between a patient and a pharmacy is received by a computer system. A reimbursement data packet is then generated and transmitted to multiple computer systems, which provide responses indicating the validity of the reimbursement claim. The computer system determines the validity of the claim based on these responses and adds an entry to a ledger. The reimbursement claim is then submitted for fulfillment. This system aims to streamline the reimbursement process for pharmacies and ensure timely and efficient payments. [Extracted from the article]

"It should be noted that under the current prescription drug fulfillment system that involves PBMs managing and facilitating the fulfillment of prescriptions as a middleman between the PBPP, the consumer and the pharmacies, there are different monetary values exchanged between the various involved entities, which further obfuscates to the consumer whether he/she could be paying less for the prescription. "Applicant has recognized that there is a long-standing need for a prescription drug redemption system that results in lower prescription drug prices to ends users or consumers and that works within the framework of the long-standing systems and processes for how prescription drugs are sold by pharmacies and for which pharmacies are reimbursed after filling a prescription. Prescription costs continue to increase for reasons such as the co-pay amounts escalating, prescriptions not being covered by pharmacy benefit plans or counting towards an insured's out-of-pocket portion of the plan due to increasing prices even within a pharmacy benefit plan network. [Extracted from the article]