Use Case Library
Use CaseNewOperationsHealthcare / Healthcare providers and services

Automate Pharmacy Benefit Management and Formulary Optimisation

Description

Pharmacy benefit managers use AI to automate drug utilisation review, formulary management, and specialty prior authorisation — reducing costs while improving medication adherence.

Benefits & ROI

Health plans and PBMs on Google Cloud use Vertex AI for drug utilisation review and formulary optimisation, reporting reduced specialty prior auth processing time.

Technology & data

Vertex AI; Gemini; drug database; formulary rules; clinical criteria; pharmacy claims analytics.

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