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Quest Diagnostics

Insights for Pharmacy Benefit Managers

Optimize medication strategy and patient outcomes

As the leading diagnostics laboratory servicing more than 90% of insured lives nationwide, Quest Diagnostics has over 80 billion lab results and the longitudinal insights to help drive medication adherence, manage specialty drug spend, and validate therapeutic efficacy across your covered populations.

Accessing lab results directly from Quest’s data feed rather than secondary channels helps ensure quality and speed. 

Data completeness 

Receive a complete, unfiltered set (100%) of your patients’ lab results.

Data timeliness

Get near real-time data delivery (within 24-48 hours), avoiding the “time lag” associated with sourcing lab results from an HIE, EMR, data aggregators, or claims-based data.

Lab data can help support initiatives across your organization

1. Medication adherence and optimization

  • Identify suboptimal responses to current medications 
  • Support medication therapy management (MTM) and adherence programs
  • Identify gaps in care needing therapy changes 

2. Therapeutic outcome management

  • Track specialty drug effectiveness via lab trends
  • Inform prior authorization with lab data
  • Help guide drug utilization strategies based on disease severity

3. Pharmacy quality and strategy

  • Fill data gaps for pharmacy-relevant quality measures (Part D Star ratings) 
  • Help reduce costs by ensuring appropriate medication use 
  • Arm clinical pharmacists with lab data for provider outreach

Potential outcomes could result in 

  • Reduced net pharmacy spend by identifying ineffective therapies
  • Improved medication adherence and quality scores (Star ratings) 
  • Better delivery of therapeutic outcomes for members on high-cost specialty medications 
  • Increased efficiency of clinical pharmacy and MTM programs

Quest Member Insights Portal

With laboratory data and quality reporting tools all in 1 location, we help you efficiently meet your data needs.

Premium access (best value)

  • Available with member-based data plan 
  • Custom reporting tools available 
  • HEDIS® reporting templates 
  • CLIA report of record (individual or batched)

Basic access

  • Available with claims-based data plan
  • Data report that contains patient-level, provider-level, and test-level information

 

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Contact us to learn how our data solutions and services can help you gain a clearer understanding of your patients' health.

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Our company

Quest® is the brand name used for services offered by Quest Diagnostics Incorporated and its affiliated companies. Quest Diagnostics Incorporated and certain affiliates are CLIA-certified laboratories that provide HIPAA-covered services.  Other affiliates operated under the Quest® brand, such as Quest Consumer Inc., do not provide HIPAA-covered services. 

 

Quest®, Quest Diagnostics®, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third-party marks—® and ™—are the property of their respective owners. © 2026 Quest Diagnostics Incorporated. All rights reserved. Image content features models and is intended for illustrative purposes only.