Systems, devices, and methods for encouraging use of preferred drugs

A computer-implemented method for providing a tiered formulary comprising a plurality of drugs organized into a plurality of ranked tiers, the method comprising:

• maintaining an electronic database for storing records reflective of the tiered formulary;
• receiving, by way of a network interface, drug data from a plurality of data sources;
• processing, at at least one processor, the drug data to generate a list of drugs to be added to the tiered formulary;
• assigning, at the at least one processor, a particular tier of the plurality of ranked tiers to a given drug of the list of drugs;
• and
• storing a record for the given drug in association with the assigned tier in the electronic database.

A computer-implemented method of encouraging use of preferred drugs, the method comprising:

• maintaining at least one electronic database storing records reflective of a tiered formulary, the tiered formulary comprising a plurality of drugs organized into a plurality of ranked tiers;
• receiving a data structure comprising a drug claim for a dispensed drug, the data structure comprising a drug identifier;
• searching, using at least one processor, within the tiered formulary using the drug identifier to determine the ranked tier assigned to the dispensed drug;
• determining, using the at least one processor, a reimbursement amount according to the ranked tier assigned to the dispensed drug, wherein the reimbursement amount is commensurate with the ranked tier.