Specialty medications Flashcards
What makes a medication a “specialty”
medication?
Due to ________ and _________ of therapy…most of the time
Disease states that fall into this category:
Hepatitis C
HIV/AIDS
Parkinson’s
Limited distribution drugs (LDD)
high cost and complexity
Extra Requirements for the “Special Stuff”?
YES!
State-licensed and regulated (pharmacy)
_________________:Utilization Review Accreditation Commission Incorporated (URAC), Joint Commission, Center of Pharmacy Practice Accreditation
Why?Consistent ___________ across the board with each disease state and each medication
third party accreditation
high level care
Outside of Medication, What Else is Done in Specialty stores?
Compounding
Financial assistance
_________ - patients can be enrolled to get coverage
Shipping
__________ management: Pill boxes, calendars, reminder notifications, blister packs
Extensive _____________ (PA) assistance
Proactive outreaches to patients
Grants
adherence
prior authorization
Hazardous Non-Sterile Compounding
Tacrolimus (Prograf®) – oral suspensions
Hydroxyurea (Droxia®) – oral suspensions
Estrogen Products – creams, capsules, etc
Alot of products compounded are for products that are not commercially available because if its commercially available and the provider wants us to compound it, there has to be a lot of rationale behind it: 1)allow us to compound it 2) get coverage from insurance and a lot of times insurance may not cover these compounds, but luckily we’re able to kind of find cost effective ingredients and things of that nature to kind of cut those costs.
Blister Packing
Great tool for patients to stay
on _________
60-day expiration
Call patient every _________ to set
up – adjust based on changes
Single blister (which is one medication in, 28-day blister,
30-day blister
track
month
Instead of saying what health conditions do you have and what medications are you taking and what are you taking them for? say……
Don’t say what health conditions do you have?
Don’t say what prescription medications are you taking
Don’t say what over the counter prescriptions are you taking
What medications are you taking on a daily basis, what medications do you pick at your local pharmacy
Initial Assessment
Helps us to gain a better understanding
of the patient
We gather patient history regarding
Allergies
Health conditions
Current prescription medications
Scheduled OTC medications
Opens the door to further counsel the
patient on the medication we will be
dispensing for them
What does patient take on a ________ basis?
daily
We focus on collect,assess, and implement
Counsel pt on what its used for, __________ side effects, what are some ____________ ones the pt needs to look out for, maybe monitoring parameters, expectations of therapy
common
serious
Ask patient what are you taking this medication for?
Have you been treated by this medication in the ______? (need to determine if pt has failed on this medication
When did you/what _______do you plan on starting treatment?
Record date to ensure patient is on track w/treatment and that they are getting an adequate amount of therapy )
past
date
Take 1 tablet by mouth once daily. Take with or without food.
Missed dose instructions. If you miss a dose give us a call or call your provider and ask them what you should. Ask when was your last dose and how many have you missed? “ we are all human and if you miss a dose give us a call and we will give you the instruction”
confirm with patient that they understand
what time are you going to take this medication and how many times a day are you taking, are you planning on take it with or without food, store at room temp, don’t leave in the sun by the window, these are some things you might see these are common side effects as you continue to use it your body might get use it if its constant and continues to be a problem reach out we will give you ways to manage these or if its getting to be severe maybe we need you to get back into office to speak with the provider to find out if another option would be better for you to treat this…don’t scare patients with a 1% serious side effect just discuss the signs/and symptoms don’t be like this medication can cause a heart attack
keep an eye out for common side effects if its start to get worse reach out to pcp
male/female: looking at reproductive health risk versus benefit
duration of therapy
making sure pts are up to date with vaccinations
Is your ___________ scheduled?
Date:
Will the medication arrive in time for the appointment?
Full month of therapy ____________?
appointment
completed
