Medicare GLP-1 Bridge Program
Single use pens of this medication? No thank you.
What is Zepbound?
You should never do this instead of using an approved SmartPhrase
What is make up your own phrase?
These oft-prescribed patches can only be applied for a maximum of 12 hours at a time
What is lidocaine?
Keppra
Levetiracetam
This game can be very frustrating if you didn't pay attention during 9th grade geography
What is GeoGuesser?
The ones who, if you're lucky, already started a Bridge PA
Who is the pharmacy?
Use this one when all of the PA questions have been answered and a reply has not yet been received from the payer
What is .epapapending?
The commonly-used abbreviation for a dual-energy X-ray absorptiometry test, used to diagnose osteoporosis
What is a DEXA scan?
Non-formulary, please bill for brand name Farxiga
What is dapagliflozin?
This 2001 movie bears the same name Jamie uses for our team
What is Super Troopers?
The number a patient calls when they've lost their Medicare part A & B card
What is 1-800-MEDICARE?
Well, shoot. You had to use this phrase because for some ungodly reason that medication is a plan exclusion
What is .epaplanexclusion?
If your fasting blood glucose is this number or higher, Wilford Brimley would like to have a chat for you because you probably have diabetes
What is 126?
I was on hold for 30 minutes with this pharmacy and every minute of that music sucked away a small piece of my soul
What is Walgreens?
The abbreviation for the entity who set the not at all random and totally reasonable guidelines for the Bridge program
What is CMS? (Centers for Medicare and Medicaid Services)
Use this one when that darn provider submits an rx under the incorrect department
What is .epadeptnotice?
This medication sounds pretty fishy to me
What is Vascepa/icosapent ethyl or Lovaza/omega-3 fatty acids?
Jamie wants to pet this animal every time it shows up in a Colorado neighborhood
What is a bear?
The lucky ducks at this PBM scored a government contract to administer the Bridge program
Who is Humana?
I used this one because that silly provider marked a GLP-1 prescription as Bridge and the patient has MASH
What is .nobridge?
A non-narcotic pain medication specifically approved for 14 days of use immediately following surgery
What is Journavx (suzetrigine)?
The two most commonly-seen biosimilars for Prolia
What are Jubbonti and Stobloco?