COPAY
TRIAGE
SERVICES
MEDICATIONS
MISCELLANEOUS
100

TRUE OR FALSE: You must only be commercially insured to be eligible for a Copay Card?

TRUE

100
Hub services only triages ______________ drug.

Paid

100

Which service do we provide that helps to obtain and verify what the patient's insurance covers?

Benefit Investigation

100

Which injectable product is specifically used for treatment?

Cabenuva

100

How many lifetime fills can a patient receive for Presumptive Fills?

3

200

TRUE OR FALSE: You will enroll all patients who qualify for a Copay Card via Lynk?

FALSE

200

We do not triage _______________ drugs as they do not require the use of a specialty pharmacy.

Oral

200

Which service is specifically reserved for uninsured patients needing an emergency fill of an oral medication?

Presumptive Fill

200

Which injectable product is specifically used for PrEP?

Apretude

200

How many lifetime fills can a patient receive for Cabenuva Planned Missed Doses?

2
300

What is the annual cap for Juluca?

$6,250

300

We require a valid prescription to triage for which services?

OLI/PMD

300

Which service is used to test the tolerability of the patients prior to starting an injectable?

Oral Lead In

300

What is the name of the product used for an Oral Lead In if the patient is aligned to Apretude?

Vocabria

300

What is the name of the Field Reimbursement Manager's own version of Lynk?

Field Team Portal

400

Who is the Injectable Copay Card Vendor?

ConnectiveRx

400

What timeframe do we give out for expected delivery of injectable products?

14-30 Business Days

400

Which service is used to provide a buffer for patients who may fall outside of their 7-day window?

Planned Missed Dose

400

What is the name of the product used in Planned Missed Doses that must be accessed through Janssen or a Retail Pharmacy?

Edurant

400

Having active status in this program excludes a patient from being eligible for copay services, presumptive fill services, and PAP

Aids Drug Assistance Program (ADAP)

500

TRUE OR FALSE: Having a Copay Accumulator allows the funds used from the Copay Card to apply towards the patient's deductible?

FALSE

500

What is the name of the document that we would send off to the SP if the HCP indicated they already sent the RX to the SP?

Pharmacy Consent Notification

500

What is the name of the portal used to assist in copay claims and billing claims?

Claims Portal

500

Which Oral medications have Pediatric indications?

Tivicay PD and Triumeq PD

500

Which case closure status would be utilized if the patient was taking a viiv product then decided to stop taking due to side effects?

Discontinued