Hospice Formulary Development

Outcome Resources offers a variety of flexible formulary or preferred drug list options to hospices. 

We provide flexible Open, Closed, and Formulary Plans that can be customized with Prior Authorization Requirements and Special Formulary Lists so administration flows exactly the way your staff and patients need. If you are comfortable with the formulary you have now, you may keep it. Otherwise, we will provide a template formulary and assist with adjustments that keep in mind your community's prescribing habits. Our pharmacists may also make recommendations for alterations to your formulary structure based on our Drug Utilization Analysis, new drugs, and your hospice's cost trends. You remain in control.         

Whether you want prescriptions to process automatically or prefer to approve each individually - the benefits management experts at Outcome Resources will listen to your requirements and design an individual plan for your organization combining many of the convenient features listed below.

Convenient Administration Features

  • Keep your drug preferences

  • Limit refills & dosage for any time period

  • Set parameters for medications, cost, physicians, & co-pay

  • Regulate retroactive billing by pharmacies

  • Retain control of ordering by approving each medication individually

  • Require generic drugs when available & brand names with permission

  • Choose different restrictions for formulary & non-formulary medications

  • Allow benefit coordination between pharmacies & primary patient insurance

  • Implement Prior Authorization Lists to require approval before pharmacies dispense