Prescription cards

Direct claim. The plan member pays for the prescription at the pharmacy, then submits a claim form for reimbursement. This was the most common method before the use of electronic claim submissions. Discount prescription card system. Plan members are issued a card or coverage document to be presented at the pharmacy when a prescription is filled. The member pays 100% of the negotiated discormt-ed cost of the prescription. This method has become more popular with Medicare eligible patients who do not currently have prescription drug coverage, but join or purchase a card program from a third-party organizahon such as AARP or the manufacturer. 

Yellow cards are also found in the back of the British National Formulary, with the ABPI Data Sheet Compendium, and interleaved with National Flealth Service General Practitioner FPIO prescription forms. 

Dispense Medication Guide and Warning Card that provide information about recognition of hypersensitivity reactions with each new prescription and refill. 

Dispense a Medication Guide and Warning Card that provide information about recognition of hypersensitivity reactions with each new prescription or refill. To facilitate reporting hypersensitivity reactions and collection of information on each case, an Abacavir Hypersensitivity Registry has been established. Physicians should register patients by calling (800) 270-0425. 

Two clauses seen occasionally in pharmacy contracts are the most favored nation clause and the allproducts clause. The most favored nation clause requires pharmacies to extend their lowest price or reimbursement rate to that third party. It is customary for third parties to require that the pharmacy charge the third party its U C price if it is lower than the third party s reimbursement formula price. However, having to give the third party the lowest reimbursement rate of all the other third-party rates is not customary The allproducts clause requires pharmacies to participate in all the third party s plans if it wants to participate in one plan. A pharmacy may want to choose only some of a third party s plans depending on the reimbursement rate and number of customers affected. Some states prohibit all-products clauses. These clauses became especially problematic with the advent of discount cards and more recently with the implementation of Medicare Part D. Discount cards are given or sold to people who do not have insurance coverage for prescription drugs. People who have a discount card pay a price that is determined by a reimbursement formula rather than the U C pharmacy price. As noted earlier, the reimbursement price usually is less than the pharmacy s U C price, so pharmacies receive less revenue. Some of the discount cards are administered by PBMs and other third parties, and pharmacies may prefer not to accept a third party s discount card even if they accept patients with insurance from that third party. Pharmacies... 

Looking at the computer screen, then looking at his patient, Wesley says, I am billing your insurance company directly on-line and they are telling me that your prescription coverage is terminated. Are you sure there isn t a new card ... 

Electronic Diary Cards are portable, hand-held systems designed to be programmed according to specific protocol requirements and are used by patients to record directly information on their condition and medication consumption during a particular study. They should be specified and designed so that they are highly prescriptive since they are used in a relatively uncontrolled environment (e.g., subject s home). Specific considerations for the validation of electronic diary cards are ... 

As is the case of an HMO patient presenting a card at the pharmacy, the Medicaid patient does the same thing. Each state decides whether it will have a patient copayment, and if so, its amount. About 15 States have no copayment requirement, and the others charge between 50 cents and 3.00 per prescription. 

I think people will be able to insert a prescription in something like an automated teller machine. They ll also insert medical cards encoded with their personal medical history and their age, height, and weight. The machine will dispense their medication. 

To get a prescribed medicine from a pharmacy, a Medicaid beneficiary usually presents a Medicaid card verifying his or her enrollment, along with the doctor s written prescription. A total of 22 States require Medicaid enrollees to pay apart of the cost of medications (287). In most States with this provision, the copayment ranges from 0.50 to 3.00 (287). Federal law prohibits States from requiring copayments from important groups of beneficiaries children under 18, pregnant women, residents of long-term care and hospice institutions, some HMO enrollees, and... 

Be sure that the list of medications a client is taking is updated. If it cannot be easily tracked in the client s record, other ways of providing this information should be instituted. For example, the social worker can help the client to create an index card that lists current and past medications. The client should have the card available for review at every appointment with a health care provider. Be sure that all medications are listed including the name, dose, number, and date of last refill. By ensuring that all providers are aware of what a client is taking, problems with duplicate prescriptions, drug interactions and side effects, contraindicated medications, and errors in dosages can be avoided. 

Standardized technology in the form of prescription drug benefit cards or other approved identification information. 

Tata LJ, Fortun PJ, Hubbard RB, SmeethL, Hawkey CJ, Smith CJ, Whitaker HJ, Farrington CP, Card TR, West J. Does concurrent prescription of selective serotonin reuptake inhibitors and non-steroidal anti-inflammatory dnigs substantially increase the risk of upper gastrointestinal h ttdirtg7 Aliment Pharmacol Ther (2005) 22,175-81. 

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