Specialty Triage
True or False Specialty Pharmacy that are not contracted with Dupixent MyWay will not have a data feed set up for the information
to be transferred
True
When should you report an AE?
24 Hours
What step does Copay Card take place?
Financial Support
Where must you reside to be eligible for PAP Med D Renewal?
Must be a resident of the United States and Puerto Rico
What type of plan is Part D Medicare?
PRESCRIPTION
Specialty pharmacy takes place where on the patient journey?
BV
Is lack of efficiency considered an AE?
Yes
If a caller's number is associated with an existing account, will iCareConnect automatically link is?
Yes
When would a CM need to manually initiate PAP?
CM manually initiates the PAP process because PA has been denied and all levels of appeals have been denied as well
Are you able to obtain the prescription date and dose instructions verbally or written?
Written
Prescriptions/Enrollment Forms for Triage Can Be Processed Under Applicable Programs. What Programs
(RSL, PAP, IAP)
AE for 300/Once the AE report is created in the Artemis Portal, it is sent to the ____________ Answer
Pharmacoviligance team
What stage is the Companion App integrated?
Companion App Integration occurs throughout the patient's journey.
When does Authorization for CA, MN, and MD Expire?
CA 18 months MN and MD 12 months
Before attempting call, Fax to HCP what should be done first?
Check sight notes before attempting to call or fax HCP. Might have to contact field rep.
If missing patients signature attempt call. If no answer fax MDO.
Three attempts will be made.
The SP Triage is performed by _______ and is the process of evaluating and directing patients to the appropriate SP.
Case Manager
When emailing the manufacturer regarding a potential AE, how do you encrypt the email?
By typing "SECURE" as the first word in the email subject line.
T or F The goal of triage is to continue the patients journey to treatment by sending their prescription to the appropriate Specialty pharmacy
True
What are the 4 types of support options offered by manufacturers?
Debit Card prepay model, Coupons or Vouchers, Claims Based, Retroactive
What happens if a patient is denied for LIS?
The denial letter can be submitted to DMW.
The LIS denial must be dated within the last 6 months.
What is the difference between an Alliance SP and Non Alliance SP?
Alliance SP's order will be transmitted via a data feed, while Non-Alliance SP will transmit the order via fax.
What are the 6 pieces of information you need to report a potential AE?
1) Product Name
2) Reporter's First and Last Name
3) Reporter's Phone#
4) Patient's First and Last Name
5) Date of Potential AE
6) Description of Potential AE
In what parts of the Patient Journey does Missing Information apply? Name all of them
BV, PA/Appeal, QS, Fin. Support, STP
PAP helps eligibile patients get access to Dupient Medication at no cost for up to __ months
12
If a patient has a change in insurance and the PA is required but not on file, what happens to the patient account?
We follow the PA follow up Cadence and the case is paused until we get the approval or exceed attempts.