Talkdesk
Health Plan/Orinoco
Prescribing
Guidelines
All about CGMs
All about TOC
100

Devoted time

What status you change yourself to when you log in to TD at the start of each day

100

Responsible for PAPa referrals

Community guides

100

30 days 0 refills

  1. How long should a refill of existing antidepressants be?

100

Dexcom, FSL 

What are the covered CGMs?

100

Initial TOC, Acute TOC, TOC follow up

What are the types of TOC visits?

200

Transfer

When transferring someone to MSG  the last button you click to successfully complete the transfer

200

Payment plan that allows members to spread out their Part D prescription drug costs over the year

What is MPPP

200

100 days with 0 refills

How long should a bridge refill be for?

200

Send to pharmacy

What is the preferred way to prescribe diabetic testing supplies?

200

TOC log

Where to find updates, assign cases?

300

FL D-SNP

The plan that requires a code to use for language line

300

DM Care Coordination / Member Follow Up / Monitoring Device Support

What is the case type for ordering vital signs monitoring kits if outside the protocol?

300

Cancer meds, immune modulators (methotrexate), antipsychotics (risperdal), mood stabilizers (lithium, depakote), hormone therapy (test, estrogen, tamoxifen), controlled substances, TCAs, MAOIs, atypical antidepressants (seroquel, zyprexa), NEW antidepressants

What are on the never prescribe list?

300

Accu-chek

What is the preferred glucometer in 2026?
300

TOC Internal Communication

What is the case type to use for TOC communications?

400

Devotedhealth

domain name for click to call TD in Orinoco 

400

Advanced Illness and Frailty 

What is a section in the protocol meant to exclude certain members from STARS?

400

MAGII or lipid medications, wrong pharmacy or alternative med due to cost

What medications do not need a visit to refill?

400

30 day supply so that the cost is $35

What is the correct way to prescribe insulin?

400

Patient not present, visit under 10 minutes and not straight forward, orders placed without speaking to patient

What constitutes a non billable visit? 

500

call patient from *67 and utilize OVR

  1. What to do if TD goes down

500

Verifying a member's chronic condition

What is a C-SNP attestation?

500

On therapy for at least 3 months, symptoms are under good control

What needs to be established before refilling an antidepressant?

500

Toujeo, Lantus

What are the long acting insulins being covered in 2026?

500

Unestablished TX or HI patients

What members require a video visit?

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