Dr. Jarrell brought up cost as one of the things which needed to be considered before prescribing
Several drugs have coupons available for patients to use to lower cost and also for privately insured individuals coupons can help them reach their deductible quickly Always check if coupons are insured only or if cash paying customers can also use Some coupons take copay all the way to 0$, others only pay certain amounts to patients copay ( ie. only take 75 dollars o the copay) Lantus (glargine) - copay will be 0$ with any copay by using commercial insurance Farxiga (dapagli ozin) - copay will be brought down to ~31$ with any commercial insurance Advair ( uticasone/ salmeterol) - will only bring down copay 100$ no matter what If copay is 200$ will bring to 100$, if copay is 75 will bring to 0$ Edarbi (azilsartan) - doesn't require patients to have insurance copay will be 40$ for cash paying customers copay will be 10$ for private insurance
Medicare Part D and cost
The Donut Hole or GAP - refers to the coverage gap in Medicare part D prescription bene t - the point where prescription drug expenses exceed the initial limit of your plan, but have not yet reached the catastrophic coverage level. (directly taken from Medicare website) Patients reach the donut hole when care cost 3,750$ and reach catastrophic level at 5,000$ So for about 1300$ patient paying way more out of pocket each month Also important to realize most Medicare patients reach the donut hole around this time of the year (middle of the year) and if their Januvia
not choose to get it! Medicare part D patients can NOT use manufacturer coupons
FORMALLY KNOWN Prescription Access in Texas (Pat) NOW KNOWN AS TEXAS PRESCRIPTION MONITORING PROGRAM (PMP)
I highly recommend making good use of this website
Will be surprised at how many patients get opioids from you and also will go to a urgent care or another physicians o ce and get additional throughout the month Check this site every time you prescribe, #120 of tramadol is not worth your license! This website is made up of 5 parts. (Texas law in March 2020 will require prescribers and dispensers (pharmacist) to look at this website before prescribing or dispensing any controlled substance Name and linked accounts (based on DOB) Risk indicator scores - NARX narx scores range from 000-999 000 - rst prescription 010-200 - 75% of scores 201-650 - 24% of scores, discuss concerns with patients regarding overuse >650 - it is recommended to review use patterns for unsafe conditions this is <1% of population, but it should be the population most concerned with additional risk indications more than 5 providers in a year more than 4 pharmacies in a 90 day period more than 4o morphine milligram equivalents/ day and more than 100 MMEs total narx scores are indicators derived from number of prescribers number of pharmacies mg equivalents overlapping prescriptions
Graphs of di erent