CareCost EstimateCareCost
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ScriptMed SpecialtyInovalon
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Related Products
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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.
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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.
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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
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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
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Audience
Infusion centers, specialty medical practices, and patient access and billing teams
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Audience
Pharmacies in search of a tool to reduce time and costs through advanced analytics and automated processing
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Support
Phone Support
Not Supported
24/7 Live Support
Not Supported
Online
Supported
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Support
Phone Support
Supported
24/7 Live Support
Not Supported
Online
Supported
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API
Offers API
Not Supported
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API
Offers API
Supported
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Screenshots and VideosNo images available
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Screenshots and Videos |
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Pricing
$189/month (first seat), $89/m
Free Version
Not Supported
Free Trial
Supported
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Pricing
No information available.
Free Version
Not Supported
Free Trial
Not Supported
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Reviews/
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Reviews/
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Training
Documentation
Supported
Webinars
Not Supported
Live Online
Not Supported
In Person
Not Supported
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Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Company InformationCareCost
Founded: 2026
United States
carecostestimate.com
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Company InformationInovalon
United States
www.inovalon.com/products/pharmacy-cloud/scriptmed-specialty/
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Categories |
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Integrations
DataStream
Not Supported
Inovalon ONE Platform
Not Supported
Inovalon Pharmacy Cloud
Not Supported
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Integrations
DataStream
Supported
Inovalon ONE Platform
Supported
Inovalon Pharmacy Cloud
Supported
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