Dispensary of Hope
Patient has insurance but can't afford their co-pays. Sign them up for DOH.
No!!!!!!!!!!!!!!!!!!!!!!!!!Patient's with insurance cannot get DOH. (unless it's Family Planning Medicaid)
Cindy doesn't have insurance and Dr. Franklin is her PCP. She does not have DOH. Can she get an albuterol inhaler for $3?
If the prescription is written to Upstate Pharmacy FMC, yes.
Tim has diabetes, he has no drug coverage. He lives alone. Can he get help with Jardiance patient assistance?
If his income is less than $63,800, it should be free and mailed to his home.
Patient has Part D, no Extra Help and has been prescribed Ozempic for diabetes. Can they get assistance from the drug company?
No. They have to pay their medication deductible before the insurance pays.
Callie is pregnant and is applying for Medicaid. Could she be eligible if she meets the financial requirements?
Yes.
Patient has hospital sponsorship. They also automatically have Dispensary of Hope
False. They are two separate programs and must apply separately.
Edna is 73, has been prescribed Weygovy for weight loss, has Part A, B and D (with drug coverage). Her BMI is 37 and her Social Security is $10,000 per month. Can she get assistance with costs?
She would be eligible for the Bridge program and her cost would be $50 per month for Weygovy.
Mary is 62 years old, still works, has no minor children at home. Can she get Medicaid?
No, not unless she has been deemed disabled by Social Security.
Any medication that is prescribed is free if the patient has Dispensary of Hope.
False! Only those meds on the DOH formulary.
Jada has just had a baby and had Pregnant women's Medicaid when she delivered. How long will she continue to receive Medicaid without a review.
What is one year.
Patient is currently active with DOH. He is prescribed Basaglar Kwikpen. It is covered.
True and it should be free at our pharmacy.
Patient makes $150,000 per year and is single with no children. Can they get their verapamil for $3 for 30 days supply?
yes
Barry is 65 years old, is retired and lives alone. He has no minor children at home. He is not disabled. Can he get Medicaid?
If his income is less than $967 per month and meets asset limits, he would meet eligibility requirement based on age.
Eric has Medicare A and B but no D or other coverage. How much would his trazadone be for a 30 days' supply at our pharmacy?
$3
Jennie has a new prescription for Ozempic for weight loss and no current prescription coverage. Will she be able to get it from the drug company?
No. If she is diabetic and meets the income requirements, she could.
Patient has DOH, getting Trulicity for weight loss. Doctor changes to the Ozempic pill (formerly known as Rybelsus.) How much will they pay?
From $199 initially up to around $1000
Kari is a 3 year old only child whose parents gross $4500 per month. Is she eligible for Medicaid?
If they pass the asset test, she would be eligible. The limit for children's Medicaid is higher than most other categories.