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Delete Conditional Fields into the Personal Medication List

Delete Conditional Fields into the Personal Medication List

Aug 6th, 2022

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Got questions?

Below are some common questions from our customers that may provide you with the answer you're looking for. If you can't find an answer to your question, please don't hesitate to reach out to us.

What is the difference between a prescription and a medication order?

Prescriptions generally are used for outpatient care and medication orders are used in institutional care. Medication orders are used to order medications for patients in hospitals, nursing homes, and other institutions. Medication orders also contain orders for procedures, laboratory test, and discharge instructions.

Do all Part D plans cover the same drugs?

All plans must cover a wide range of prescription drugs that people with Medicare take, including most drugs in certain protected classes, like drugs to treat cancer or HIV/AIDS. A plans list of covered drugs is called a formulary, and each plan has its own formulary.

What drugs are excluded from Part D plans?

Medicare does not cover: Drugs used to treat anorexia, weight loss, or weight gain. Fertility drugs. Drugs used for cosmetic purposes or hair growth. Drugs that are only for the relief of cold or cough symptoms. Drugs used to treat erectile dysfunction.

What drugs are protected class for Part D?

Part D plans are required to cover all drugs in six so-called protected classes: immunosuppressants, antidepressants, antipsychotics, anticonvulsants, antiretrovirals, and antineoplastics.

What are considered Part D drugs?

Part D coverage HIV/AIDS treatments. Antidepressants. Antipsychotic medications. Anticonvulsive treatments for seizure disorders. Immunosuppressant drugs. Anticancer drugs (unless covered by Part B)

What is a list of covered drugs kept by each Medicare drug plan called?

A plans list of covered drugs is called a formulary, and each plan has its own formulary. Medicare drug coverage typically places drugs into different levels, called tiers, on their formularies.

Are Part D exceptions to the formulary available?

A formulary exception should be requested to obtain a Part D drug that is not included on a plan sponsors formulary, or to request to have a utilization management requirement waived (e.g., step therapy, prior authorization, quantity limit) for a formulary drug.

When should a patients medication list be updated?

It should be done at every transition of care in which new medications are ordered or existing orders are rewritten. Transitions in care include changes in setting, service, practitioner, or level of care.

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