Methods and systems for promoting mobile awareness

A non-transitory machine-readable medium comprising instructions, which when executed by one or more processors, cause the one or more processors to:

• receive a claim from a member-selected pharmacy of a plurality of pharmacies associated with a drug benefit plan, the claim indicating a first prescription drug to be administered to a member of the drug benefit plan by the member-selected pharmacy;
• receive an authorization request for a benefit in the drug benefit plan at a computer system, the authorization request received from the member-selected pharmacy through one or more networks;
• determine a current geographic location of the member of the drug benefit plan based on the authorization request received from the member-selected pharmacy;
• access pharmacy data that indicates locations of the plurality of pharmacies where the member previously obtained prescription drug fills as reflected within a plurality of claims of adjudicated claims data of the member;
• automatically compare the current geographic location of the member with the locations of the plurality of pharmacies;
• select a drug benefit plan action based on a determination that the current geographic location of the member satisfies a pharmacy location criterion associated with at least one other pharmacy of the plurality of pharmacies that is not the member-selected pharmacy;
• and
• enroll the member in home delivery of the first prescription drug responsive to communication of a drug benefit notification from the computer system to a mobile electronic device of the member through the one or more networks, the drug benefit notification based on the drug benefit plan action, the drug benefit notification including a request for confirmation from the member that the member is acquiring a prescription refill of the first prescription drug from the member-selected pharmacy that is outside of the drug benefit plan.

A system comprising:

• one or more processors and a memory coupled to the one or more processors, the one or more processors configured to receive a claim from a member-selected pharmacy of a plurality of pharmacies associated with a drug benefit plan, the claim indicating a first prescription drug to be administered to a member of the drug benefit plan by the member-selected pharmacy;
• a location module deployed in the memory and executed by the one or more processors to determine a current geographic location of the member of a drug benefit plan, the current geographic location determined based on receipt of an authorization request for a benefit from a global positioning system receiver of a mobile electronic device of the member at a computer system through one or more networks, the authorization request received from the member-selected pharmacy through the one or more networks;
• and
• a plan action determination module deployed in the memory and executed by the one or more processors to access pharmacy data that indicates locations of a plurality of pharmacies where the member previously obtained prescription drug fills as reflected within a plurality of claims of adjudicated claims data of the member, the plan action determination module also executed to automatically compare the current geographic location of the member with the locations of the plurality of pharmacies, the plan action determination module also executed to select a drug benefit plan action based on a determination that the current geographic location of the member satisfies a pharmacy location criterion associated with at least one other pharmacy of the plurality of pharmacies that is not a member-selected pharmacy, the drug benefit plan action being enrollment of the member in home delivery of a first prescription drug.