Absolute Total Care has systems in place for all of our members to make sure that they are getting safe and appropriate care. Our programs include real-time and historic review of previous prescriptions filled that may cause medical problems or unwanted side-effects. The reviews also help to avoid the use of drugs that are alike, at the same time. This is especially important for members who have more than one doctor who prescribe their medications, use more than one drug, or have more than one pharmacy.
If you have any questions, call Member Services at 1-855-735-4398. Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on federal holidays, you may be asked to leave a message. Your call will be returned within the next business day. TTY users call 711.
Our plan has programs in place to ensure you receive safe and appropriate care. Our programs include current and historic review of claims. These reviews are in place to reduce drug errors that cause adverse drug interactions. Our reviews are important if you use more than one drug, have more than one pharmacy, or have more than one doctor who is prescribing drugs.
Drug and Utilization Review Programs
When a pharmacy sends a prescription claim, we look at the claim for:
- Age related problems.
- Overuse and underuse.
- Issues with other drugs you take.
- Issues with a disease you have.
- Wrong drug dosage.
- Wrong length of therapy.
- Drug/allergy issues.
- Abuse or misuse.
For questions about our quality programs contact Member Services.