Mirixa Corporation, a subsidiary of the National Community Pharmacists Association (NCPA), was founded in 2006 to create a platform for health plans to meet the specific and constantly changing requirements established by the Centers for Medicare and Medicaid Services. It also served to facilitate the performance of clinical medication management services at the retail pharmacy level. They are partnered with over 50,000 pharmacies. Major corporations such as Aetna, Care1st, CVS Caremark, and Wellcare are just a few of their many health plan clients, and their services affect approximately 8.5 million patients. Their web interface, known as Mirixa ProPlatform, analyzes prescription claims data from the health plan to target patients who are most likely to benefit from their services. It alerts the pharmacist when eligible patients are identified with potentially billable services. The comprehensive medication review (CMR) required by…show more content… It had been approximately 45 days since the last documented refill of his losartan 100 mg tablets. His electronic profile revealed that he typically receives only a 30-day supply of this particular medication, and no refills are added by the prescribing physician. After contacting the patient, it was discovered that last month when the prescriber was contacted for a refill request, there was a duplicate prescription faxed to the pharmacy. The second prescription was denied by his insurance with a “refill too soon” rejection, however the technician working on the order simply switched it to a cash payment. The customer was informed at checkout, and opted to pick up both prescriptions as the cash price was not drastically different than his insurance copayment. This interaction was documented as “patient paid cash” within the Mirixa
