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About

CareCost Estimate helps infusion centers and specialty medical practices answer the question every patient asks: what will this cost me? Staff pick the drug, dose, and insurance. CareCost returns the patient's out-of-pocket cost in about 90 seconds — including Medicare Part B coinsurance, secondary insurance and Medigap, weight-based dosing, and vial waste (JW/JZ). It then applies the manufacturer copay programs and foundation grants the patient may qualify for, so the number the patient hears is the real one. The same lookup shows what the payer requires first: prior authorization, step therapy, and site-of-care rules, quoted from the payer's own policy with a link. Drug prices come from CMS Average Sales Price files, updated every quarter. Estimates run in the browser, so patient data never reaches our servers. CareCost also publishes free billing and coding references for infusion CPT codes, J-codes, and modifiers, and the quarterly Infusion Reimbursement Index.

About

The ScriptMed Specialty pharmacy management software is an industry leader, serving seven of the top ten U.S. specialty pharmacy companies. Access the largest dataset in the industry to pre-populate critical, patient-specific data elements, accelerating time to fill and improving quality of care. Delivers streamlined, automated processing across the specialty and infusion pharmacy continuum, decreasing the cost to serve by up to 17%. Reduce time and cost to fill with real-time healthcare connectivity, advanced analytics, and automated processing. Support interventions, outreaches, or internal processes with real-time insights about the patient, prescriber, payer, medication, and more. Synchronized medical claims processing allows many of the steps to be handled concurrently, dramatically decreasing the time and expense of medical billing. Experience unmatched connectivity, functionality, and financial benefits in the specialty pharmacy marketplace.

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Audience

Infusion centers, specialty medical practices, and patient access and billing teams

Audience

Pharmacies in search of a tool to reduce time and costs through advanced analytics and automated processing

Support

Phone Support Not Supported
24/7 Live Support Not Supported
Online Supported

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

API

Offers API Not Supported

API

Offers API Supported

Screenshots and Videos

No images available

Screenshots and Videos

Pricing

$189/month (first seat), $89/m
Free Version Not Supported
Free Trial Supported

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported

Company Information

CareCost
Founded: 2026
United States
carecostestimate.com

Company Information

Inovalon
United States
www.inovalon.com/products/pharmacy-cloud/scriptmed-specialty/

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Categories

Medical Billing Supported

Categories

Pharmacy Supported

Integrations

DataStream Not Supported
Inovalon ONE Platform Not Supported
Inovalon Pharmacy Cloud Not Supported

Integrations

DataStream Supported
Inovalon ONE Platform Supported
Inovalon Pharmacy Cloud Supported
Claim CareCost Estimate and update features and information
Claim CareCost Estimate and update features and information
Claim ScriptMed Specialty and update features and information
Claim ScriptMed Specialty and update features and information