Pharmacy Management System and Point of Sale Solution

The Vendor is required to provide for a fully customizable Pharmacy Management System (PMS) and Point of Sale (POS) solution that supports comprehensive pharmacy operations and clinical services.
- The selected system must deliver the following core capabilities:
•    System Architecture & Technical Compliance
•    Robust Workflow Optimization & Collaboration
•    Robust Inventory & Supply Chain Management
•    Real-time integrations with EHR and third-party platforms
•    Secure Patient Engagement & Communication
•    Advanced Clinical Intelligence & Decision Support
•    Financial Optimization, Billing Automation and Pricing Logic
•    Customizable Reporting, Analytics, and Audit Readiness
•    Regulatory Compliance and Data Security
•    POS and Checkout Integration
•    Training, Support, Online Resource’s, and Documentation
- System Architecture and Claims Integration
•    The system must be a user-friendly, cloud-based platform that supports seamless integration with external systems, including Point and Click EHR via HL7 interface.
•    It must enable real-time insurance eligibility verification, provider lookup, and directory import to ensure accurate prescriber data.
•    The system must integrate with third-party adjudication systems must include automated coordination of benefits (COB), pre/post edit controls, claims scrubbing, and NCPDP validation.
•    A real-time claim status dashboard must display live claim activity, flag rejected claims, and provide actionable resolution steps to streamline denial management and improve billing accuracy.
•    The system must support batch claim submission and reconciliation, including bulk processing of claims and remittance files.
•    Integrated third-party reconciliation tools must match submitted claims with received payments, flag discrepancies, and support audit readiness.
•    ERA/835 file handling and auto-posting must be included to import electronic remittance advice and apply payments automatically.
- Patient and Provider Management
•    The system must support multiple patient lookup methods and allow merging of duplicate patient and provider records.
•    Patient profiles must include dual address fields (e.g., local and permanent) and a status indicator (e.g., student, faculty, staff, dependent), with the ability to generate customized reports based on these attributes.
- Workflow and Inventory Automation
•    Barcode-driven verification and error prevention must be integrated throughout the workflow to support DSCSA (Drug Supply Chain Security Act) compliance, inventory control, and accurate prescription processing.
•    System must allow pharmacies to fully customize prescription workflow stages, including renaming, reordering, and adding stages, to align with real-world pharmacy operations rather than fixed system defaults.
•    Smart workflow queues with role separation and a pre-check station module must be included to streamline operations and reduce dispensing errors. System must also support role-based task assignment so prescriptions are automatically routed to appropriate staff based on permissions (e.g., pharmacists for clinical verification, technicians for filling), reducing errors and improving efficiency.
•    The system must support prescription image capture and archiving for hardcopy prescriptions, insurance cards, and patient IDs, with on-screen viewing capabilities.
•    System must provide a live, real-time view of prescription status across all workflow stages, enabling staff to identify bottlenecks, allocate resources appropriately, and reduce patient wait times.
•    System must support visual queue management tools, including color-coding and filtering, to quickly identify new prescriptions, delayed items, prescriptions with issues (e.g., insurance rejects or DUR alerts), and items ready for pickup or delivery, enabling effective prioritization and reducing missed prescriptions.
•    System must support direct integration of electronic prescriptions into the workflow without manual data entry.
•    System must support secure internal staff messaging and automated patient notifications regarding prescription status changes.
•    Mobile inventory tools must allow staff to perform tasks from handheld devices, including spot checks, will call scanning, receiving, counting, and restocking.
•    The system must support real-time inventory updates through shelf tag scanning and barcode capture to ensure accurate stock levels and streamlined inventory management.