Processes

What will AGI do for Manage drug Formulary?

A scheduled review cycle initiates, or a new prescription drug enters the market following regulatory approval.

Trigger: A scheduled review cycle initiates, or a new prescription drug enters the market following regulatory approval.
Outcome: The health plan's approved list of covered medications is updated, categorized by cost-sharing tiers, and distributed to claims systems and stakeholders.

The work itself

Grounded Work Profile

Monitor regulatory approvals and drug market changesprocessProfile
Conduct clinical evaluation via Pharmacy and Therapeutics committeeprocessProfile
Analyze financial impact and negotiate manufacturer rebatesprocessProfile
Assign medications to formulary tiers and define utilization rulesprocessProfile
Update pharmacy benefit systems with new coverage criteriaprocessProfile
Distribute updated formulary guidelines to members and providersprocessProfile

How AGI delivers it

Services-as-Software
Get the professional outcome delivered as software, priced on results, not headcount.
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Autonomous Agents as digital employees
Hire a digital employee that does the job under earned, supervised autonomy.
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Business-as-Code
Encode how your work runs, once, as software that executes itself.
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Value flow

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