PHARMACY CARE SERVICE

• Comprehensive Medication Reviews: Our pharmacists conduct thorough reviews to identify potential barriers to adherence, including complex regimens, side effects, drug interactions, and cost concerns.

• Personalized Medication Management Plans: We develop individualized plans tailored to each patient's needs and preferences, simplifying regimens and addressing any specific challenges.

• Adherence Monitoring: We utilize various methods to monitor medication adherence, including the use of smart devices (like pill bottles and boxes) for real-time data, refill tracking and self-reported data.

• Patient Education & Counseling: Our pharmacists provide clear and concise education to patients and their caregivers on their medications, including proper dosage, administration, and potential side effects. We empower patients to take control of their medication management.

• Proactive Interventions: When adherence issues are identified, our pharmacists work with patients, caregivers, and physicians to develop strategies to overcome these challenges. This might include simplifying regimens, suggesting alternative medications, or blister packs or other specialized adherence packaging that reduces errors and improves adherence. 

• Collaboration with Your Team: We seamlessly integrate with your team to ensure consistent communication and coordinated care.

• We coordinates with the dispensing pharmacy the delivery and/or transport of prescriptions on behalf of the patient.

• Deliveries can be made from any pharmacy registered with the NCPDP within coverage areas.

• Our program does not require a patient’s prescription to be transferred to a particular pharmacy.

We leverage a PAP tracker system that streamlines the application process and allows our clinical team to:

• Enroll participants faster

• Expedite applications and refills

• Reduce error

• Preserve patient and order history

• Assure patient continuity

Chronic Care Management is essential for improving patient outcomes and optimizing healthcare resources. A Centers for Medicare & Medicaid Services analysis1 highlighted the effectiveness of these programs, demonstrating a notable reduction in hospitalizations by nearly 5% and a decline in emergency department visits by 2.3%.

Benefits for your patients:

• Team of dedicated health care professionals to plan for better health and stay on track for good health for your patients

• Comprehensive care plan to support disease control and health management goals, including outside resources, community support, referrals, and educational information

• Additional personalized support between visits and more frequent communication with our clinical care team  – via telehealth or home visits.

• Optimizing drug therapy recommendations tailored to individual needs, as well as delivering effective disease management and chronic care management, which includes the option of remote patient monitoring to enhance patient engagement and adherence.

• Provide medication education, informative drug therapy management, and unlimited access to our knowledgeable clinical pharmacists.

• Actively assists in identifying various programs and resources designed to alleviate challenges related to medication costs, transportation issues, food assistance, and much more.

1. Schurrer J, O’Malley A, Wilson C, McCall N, Jain N. Evaluation of the diffusion and impact of the chronic care management (CCM) services: Final report. CMS.gov. Published November 2, 2017. Accessed August 8, 2023. https://innovation.cms.gov/Files/reports/ chronic-care-mngmt-fnalevalrpt.pdf

Our approach involves a comprehensive medication review, where our expert pharmacists assess your patients' current medication regimens, identifying potential drug interactions, duplications, and opportunities for streamlined therapy. By utilizing evidence-based guidelines and patient-centered care principles, we empower healthcare providers

By partnering with us, healthcare providers can ensure their patients achieve the maximum benefit from their medications, leading to improved health outcomes and satisfaction.

Our medical drug management service is designed to optimize patient care by ensuring that every individual receives the appropriate medication with the best possible coverage.

Our Care Team:

• Eligibility and Coverage Review: We thoroughly review each patient’s eligibility and coverage status, distinguishing between medical benefit and pharmacy benefit coverage to determine the most advantageous option.

• Informed Recommendations: Based on our comprehensive assessment, our team recommends the appropriate coverage—whether medical or pharmacy—tailored to the patient's specific health plan coverage rules.

• Claim Assistance: We provide dedicated support to dispensing providers, assisting them in submitting medical and/or pharmacy claims, ensuring a smooth and efficient reimbursement process.

• Patient Focused: Our primary objective is to ensure that patients receive their prescribed medications without delay, prioritizing their health and well-being throughout the process.

By choosing our medical drug management service, you can be assured of a streamlined approach to medication coverage that emphasizes accuracy, efficiency, and patient satisfaction. Let us assist you in navigating the complexities of drug management and coverage to enhance health outcomes.

Personalized home visits offer in-person assessments and care in the comfort of a member's environment. This enhances trust and significantly reduces barriers to care for vulnerable populations.