MMIT | Formulary Tools | Medicare/Medicaid Formulary | Health Plan Drug Coverage | Electronic Prescribing Solution
Formularies from P&T to point of care
MMIT brings transparency and guidance to pharmacy and medical benefit information. Payers, pharmaceutical companies, providers and pharmacies use our data and workflow app to provide clarity from P&T to the point of care, ensuring consistent managed care decisions across the healthcare market.
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Manage and Publish with Confidence
MMIT offers flexible formulary management software tailored for the needs of health plans and PBMs. Our web-based application supports all lines of business through extensive workflow and guidance functions as well as with multiple publishing mechanisms. We also provide a business logic layer to streamline synchronization across all major drug list providers.
> Providing Crucial Transparency
> Enter Once, Communicate Everywhere
MMIT’s easy-to-use tools provide the scalable data integrity to manage a large array of public and private formularies. Pharmacy directors and their teams can enter changes once, have that new data formally approved, then leverage the updates into a trusted foundation for healthcare providers, organizational customers, and plan members. Our clients rely upon the transparency provided by MMIT’s software to efficiently publish their formularies in searchable websites, PDF guides, or data files.
> Staying Ahead of Ever Changing Guidelines
Guidelines changes are no longer limited to an annual CMS ritual. Now MMP, MMA and state exchange requirements must also be interpreted and incorporated to timely meet standards for all channels, states and agencies. Since 2006, MMIT has invested to ensure that clients can meet the government’s technical requirements and publication standards. We augment our software with a team of skilled pharmacists who enable us – and our clients’ pharmacy staff – to stay ahead of the growing complexity and uncertainty involved in publishing formulary decisions.
Measure, Optimize, and Promote
MMIT’s trusted market access data and analytics enable brand teams to measure and optimize market access for their prescription and specialty products. Once advantaged market access is contracted, MMIT’s scalable and streamlined promotional solutions enable sales and marketing teams to quickly communicate coverage wins directly to targeted physicians via personal and non-personal channels.
> Multi-Channel Marketing Reach
MMIT’s market access promotional solutions provide consistent, accurate, and timely market access information to physicians across multiple channels. MMIT’s interactive, mobile-first market access solution supports face-to-face managed care conversations with physicians. Non-personal promotional solutions include online coverage lookup capabilities and HCP online alerts and emails that deliver market access messages.
> Specialty and Medical Pharmacy Solutions
MMIT’s Specialty Analytics solution provides a single, holistic view of specialty brand market access by consolidating formulary, utilization, and medical policy coverage insights into a single, intuitive solution. The combination of our specialty market access data with our integrated business intelligence solutions and multi-channel promotional solutions enables specialty brand teams to quickly measure, enhance, and promote their brand’s market access in an efficient and compliant way.
> The Most Comprehensive Formulary Data
MMIT offers the most robust formulary data set available, spanning all drugs, channels, states, CBSAs and counties, and extending back over a decade. Monthly we monitor status and restriction changes for over 98% of covered lives. These updates flow daily to clients via intuitive analytic and marketing apps as well as APIs and data feeds. Our solutions identify meaningful shifts in coverage, support account management and brand teams, and facilitate informed contracting and promotional strategies.
Integrated Drug Search
MMIT provides a platform for easily integrated drug search and formulary checking. Since 1994, we have built relationships with health plans and PBMs that enable us to maintain highly accurate data at the dosage level. Structured for First Databank, Medi-Span, Multum, RxNorm and other drug lists, our data is structured to slide seamlessly into any delivery, educational or reference workflow. Whether integrating via our APIs or apps, clients use MMIT’s formulary data to help providers understand coverage and achieve the meaningful use thresholds.
> Access to Timely and Accurate Formulary Data
MMIT’s robust formulary data set has been maintained for over a decade and spans all drugs, channels, states, counties and zip codes. We maintain a rigorous monthly update cycle during which we monitor status and restriction changes for over 98% of covered lives. Any new information flows nightly to our clients’ software and end users via our APIs. MMIT’s solutions provide transparency for the latest coverage trends and enable decision-making clarity at the point of care or point of sale.
> Enabling Consistent Patient Guidance
MMIT supports the entire spectrum of healthcare providers in their efforts to inform patients. From the exam room to the office or home, our data and software provide an intuitive interface and user-appropriate terminology to guide cost-related decisions that require the most current status and restriction details. MMIT’s data is embedded into EHR and e-prescribing applications inside the largest ambulatory, long term and post-acute care settings and emerging for the first time within the retail pharmacy.
> Utilization Management Transparency
As more specialty drugs launch, payers increasingly use an array of strategies – prior authorizations, step edits, quantity limits and age, gender or specialist restrictions – to tightly control usage. By leveraging MMIT’s data, prescribers and pharmacists can remove this complexity and improve their efficiency when delivering care. MMIT’s team is comprised of professional pharmacists, who assess the forms and policies required to extract the salient UM criteria by indication. Enhancing the verbatim notes through codified restriction attributes provides crucial transparency and surfaces the right criteria to support the key coverage-dependent decisions.
Instant Access to Formulary Status and Restrictions
Formulary Search makes sense of managed care by providing complete and accurate coverage information. MMIT's native iOS app provides – for free – the most comprehensive formulary and restriction data set in the industry. Quickly hone in on your drug, location, and/or plan to get timely and relevant access to the MMIT network.
> Data Covers Insurance for Over 95% of U.S. Insureds
MMIT monitors status and restriction changes for over 95% of the insured lives in the United States on a monthly basis. Skilled pharmacists curate our database with significant input directly from payers who collectively manage the pharmacy benefit for over 50% of covered lives. Use Formulary Search to transform disparate data sources into meaningful HCP interactions.
> Drill Down to Detailed Coverage Information
Specialty drugs are the fastest-growing segment of healthcare expenses and for us that means it’s all about the details. With Formulary Search, tap any plan to view coverage restriction flags including Prior Authorization, Step Therapy, and Quantity Limit.
> Covers All Channels, Including Health Exchanges
As the managed care landscape continues to evolve, trust MMIT to keep you updated on the latest plan offerings available in your area. Formulary Search includes drug coverage information for all channels including Commercial, Medicare Part D, State Medicaid, Pharmacy Benefit Managers (PBM) and Health Insurance Exchange Plans (HIX). Now, the key insights needed to navigate the healthcare market’s reforms are available at your fingertips.