Multi-platform prescription drug claim adjudication

A system comprising:

• one or more processors coupled to a memory comprising non-transitory computer instructions that when executed by the one or more processors perform operations comprising:
• receiving, by a first server associated with a first claim adjudication entity, a claim for a prescription drug for a patient, the first claim adjudication entity managing a prescription drug profile for the patient;
• accessing initial fulfillment information for fulfilling the prescription drug using the first claim adjudication entity;
• determining that one or more features associated with the prescription drug of the claim correspond to one or more criteria;
• in response to determining that one or more features associated with the prescription drug of the claim correspond to the one or more criteria, transmitting a communication to a second server associated with a second claim adjudication entity, the communication identifying the prescription drug and requesting alternate fulfillment information;
• and
• selecting a claim adjudication process based on the initial fulfillment information and the alternate fulfillment information.

A non-transitory computer readable medium comprising non-transitory computer-readable instructions for performing operations comprising:

• receiving, by a first server associated with a first claim adjudication entity, a claim for a prescription drug for a patient, the first claim adjudication entity managing a prescription drug profile for the patient;
• accessing initial fulfillment information for fulfilling the prescription drug using the first claim adjudication entity;
• determining that one or more features associated with the prescription drug of the claim correspond to one or more criteria;
• in response to determining that one or more features associated with the prescription drug of the claim correspond to the one or more criteria, transmitting a communication to a second server associated with a second claim adjudication entity, the communication identifying the prescription drug and requesting alternate fulfillment information;
• and
• selecting a claim adjudication process based on the initial fulfillment information and the alternate fulfillment information.