Who is PrescribeWellness partnering with?

Highmark Inc., a health plan based primarily in Pennsylvania.

Why is PrescribeWellness partnering with Highmark Inc.?

Our partnership with Highmark has brought new payment opportunities to our pharmacies since 2017. Participating pharmacies can get paid for improving safety (SUPD) and adherence (RASA, DM, CHOL) quality measures depending on network performance. 

What is the 2019 Highmark Program objective?

To improve adherence and quality measures for identified Highmark members.

When does the Highmark Program start and end?

The 2019 Highmark program has already started and will end on December 31st, 2019.

What pharmacies are eligible for participating?

Only PrescribeWellness network pharmacies with eligible Highmark patients will be able to participate in the 2019 Highmark Program. At a minimum, pharmacies must have the Patient Engagement Center and PrescribeCare in order to participate.

How can a pharmacy participate in the program? How much does it cost to participate?

Your pharmacy should have received an email from PrescribeWellness notifying you of your participation in the 2019 program. There is no cost to participate, however, you must have our Patient Engagement Center and PrescribeCare to be included.

What should I be doing as a part of the Highmark program?

As a pharmacy in the 2019 Highmark Program your focus should be on:

  1. Increasing the medication adherence of those patients identified in the Highmark Adherence Patients Program filter
  2. Documenting your efforts for initiating statin therapy in diabetics patients, found under the Program filter: Highmark SUPD Patients. This includes utilizing PrescribeCare to make notes on what you discussed with a patient and their physician, as well as sending SUPD faxes from PrescribeWellness. 

How do I identify my Highmark Patients?

  1. In the Patient Engagement Center, click on the Filters button and select the Plan tab. Click on the Any Program filter option and a drop-down menu will appear. Select Highmark Adherence Patients for a list of patients that are Highmark members with diabetes, hypertension, and hyperlipidemia.
  2. Select Highmark SUPD Patients for a list of Highmark patients who are part of the SUPD quality measure

Who can I contact with questions?

Contact our Client Solutions team at solutions@prescribewellness.com