The TeleCLAIM system has evolved over 18 years. Each successive year resulted in upgrades that enhanced the system’s features by incorporating the ideas of many clients.

The initial system in 1987 found great acceptance with just the fundamental cost containment features. These basic features were those that minimized fraud, abuse and over-utilization.

Eligibility checking alone curtailed much of the fraud. Then the Refill-Too-Soon checking eliminated much of the abuse because the Sponsors standardized the 30 day supply as the maximum for maintenance drugs.

The initial system also caught the fraud perpetrated by Rxs being "shopped around" to multiple stores before the 30 days elapsed. All stores on the network interacted with the same database of dispensed drugs so that all Rxs for an individual were scanned by the system.

As the years rolled on many new and effective cost containment features accumulated and were shared by all the TeleCLAIM users. The idea of implementing variable Co-Pay amounts took hold to provide incentives to the buyer to replace with Generics as they became popular.

Deductibles and Maximums were introduced to the system early in the process as were other controlling features. Today the system contains the 4-Tier system of Co-Pay amounts to distinguish between low and high cost Brands and Generics.

Midway in this evolutionary process Formularies were introduced to create a more specific method of excluding certain classes of drugs and included only therapeutically effective drugs as determined by the Sponsor or a Board of Pharmacists.

Today, literally hundreds of cost-containment features are possible in the TeleCLAIM++ system. DpRx passes on to its clients the accumulated experience of dozens of Pharmacists and Administrators whose ideas were based on empirical evidence of cost effective measures that maintained therapeutic efficiency.