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WHAT ARE THE PHARMACY'S HOURS?
We are open to serve residents with a full staff from 8 a.m. to 5:30 p.m. Monday through Friday. We also have a partial
staff in the pharmacy for ordering only from 9 a.m. to 1 p.m. on Saturday. We have a pharmacist on-call for emergencies
24 hours a day, 7 days a week. back
Centrally located in Lakeland, Florida, we serve, by driver delivery, a large portion of the state of Florida from Gainesville to Fort Myers and from Tampa to Daytona. We also serve, through Fed-Ex overnight mail, facilities and clients around the state
of Florida and around the country.
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Unit dosing is an efficient, safe system of dispensing medications in prepackaged cassettes or bingo cards.
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Questions about Service
Yes, we make daily deliveries to any facility that has ordered from us that day, as well as monthly or bi-weekly deliveries of the unit-dosed, routine medications.
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Medication emergencies are rare, those that do occur are handled by our on-call pharmacist, who calls an emergency dose in to a local Walgreen's and arranges to have a cab service pick it up and deliver it to the facility. The remainder that is needed is
delivered with our next scheduled delivery to the facility.
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Corrections to the MOR are done on a monthly basis from the changes the facility provides us. Changes that occur during the month should be written on the MOR by the nursing staff and turned in to Pharmacy Care around the 15th of the month (or faxed from
the 15th to the end of the month) so that our dedicated MOR team can make the necessary corrections.
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As a free service to our pharmacy partners we provide Med Tech training periodically, approximately 4 times per month. A registered nurse at various locations throughout our service area conducts these training sessions.
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We have a full-time staff dedicated to obtaining refills for routine medications. We begin trying to obtain refills 3 weeks in advance of their need and continue right up to the date the medication is supposed to be delivered. If we are unable to obtai
n refills from the doctor we will communicate this difficulty to you and only then will we ask for your help in obtaining the refill. For non-routine medications either we will obtain them from the doctor or you, the facility, will send us a new prescrip
tion. We will communicate with you on a daily and weekly basis about any difficulties in filling your orders.
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We provide a quarterly satisfaction questionnaire form to the facility. This form, when returned to Pharmacy Care, is reviewed by the Administrative/Management staff directly and prompt steps are taken to address any issues that arise from them.
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Questions about Ordering and Dispensing
Each facility is assigned to a specific pharmacy representative who will be there liaison with the pharmacy. All orders are faxed directly to this representative and most communications will come from and to this representative. We accept faxed prescrip
tions, phone orders from physicians, and hard copy prescriptions (through the mail and given to our delivery drivers).
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Please be aware that per federal law we require a hard copy prescription for any ordered Class 2 Narcotic before the medication can be filled and that these medications cannot be refilled but must be re-prescribed by the physician.
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If your order is received before 4 p.m. (1 p.m. on Saturdays) the order will be filled that day and delivered that evening (or mailed that evening for facilities receiving Fed-Ex packages). If the order is received after 4 p.m. (1 p.m.) it may be filled
that evening, depending on what the order is for and how urgent you indicate it is, at the discretion of the pharmacist, otherwise they are delivered the next day.
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Questions about Billing and InsuranceHOW ARE BILLING QUESTIONS HANDLED?
Billing questions are handled by our trained collections staff Monday through Friday and are handled in a prompt and courteous fashion.
Questions about billing, late fees, etc. should be directed to billing at
800-350-2325 or 888-882-1749(Fax)
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We can and do file insurance claims for those residents whose insurances can be on-line adjudicated. This means that their insurance allows electronic claims. We do not file paper claims for residents. We are enrolled in over 1800 insurance plans and a
re always willing and eager to enroll in new insurances as we find them. To inquire about our enrollment in specific insurance plans or for any insurance question please fax a copy of the card and call us at 800-350-2325 and 888-882-1749(fax).
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Routine billing and delivery are procedures that reduce the amount of time and effort you have to invest in ordering. When a medication is prescribed and the doctor indicates that this will be an on-going, long-term medication we place the prescription o
n automatic billing. This means that you order it the first time and from then on it will be filled and delivered automatically each month without your placing an order for it. We will attempt to obtain any refills necessary, bill the medication and del
iver it on a routine schedule every month. If we cannot obtain the refill needed to fill the medication you will be notified that the item would not be delivered on the exchange before the day of the exchange. Refills can be called into our Refill depart
ment (please feel free to give these phone and fax numbers to doctors to facilitate our work on your behalf): 800-350-2325 and 888-882-1742 (fax)
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We can bill Medicare for a limited number of items. Medicare will not pay for most prescription drugs unless you are in the hospital or are a transplant recipient. The items they will pay for, and therefore the ones we can bill to them, are some diabeti
c supplies (but not insulin or diabetic drugs), and ostomy supplies.
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We can supply over-the-counter items so long as the resident's account is secured with a service authorization form signed by the responsible party that guarantees payment of the account.
Please remember that the term over-the-counter refers to a huge variety of items and while we carry a large stock in our facility occasionally an item is ordered that we must order from our vendor. This means that obtaining it may take slightly longer
than the wait time on a prescription medication.
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We are enrolled Medicaid providers and in fact are experts in Medicaid billing and the Medically Needy (Share of Cost) program. We can assist your facility in becoming a profitable Medicaid facility instead of losing potential business. For questions con
cerning Medicaid and the Medically Needy program please contact us at 800-350-2325.
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We bill customers on a 28-day cycle to match our 28-day exchange cycle. This means that they receive 13 statements per year. When an item is ordered we bill it to the residents' account, during the billing period these items are accumulated and on a sch
eduled day (every 28 days) we run a statement of account that is then mailed to the address supplied by the resident. We ask that these statements be paid within 14 days, however, they are not considered to be past due (and eligible for a service fee) un
til the 28th day has passed. Occasionally, a client with whom we have no service agreement wants to purchase prescriptions from our pharmacy. In these cases we will deliver the items with our regular delivery as a C.O.D. item that the customer can give o
ur driver a check for.
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