Sublocade
This is how many days Sublocade can be left at room temperature before it must be discarded
What is 7 days?
These are the 4 steps you must take when opening a BI case in Salesforce.
What are: "1) Click Cases; 2) New Case; 3) Select benefits investigation (primary or secondary based on your information); and 4) Click continue"?
The Perseris and Sublocade EFs both allow for this many alternate contacts.
What is two?
This is the definition of a hub.
What is a way for pharmaceutical manufacturers to maintain a connection with patients and providers during all phases of the prescription delivery and therapy process?
The NDC for Sublocade 300 mg.
What is 12496-0300-01?
People with these conditions should not take Sublocade. (Name at least 2.)
What is anyone that is allergic to buprenorphine, pregnant or planning to become pregnant, has a history of alcoholism or currently taking other opioids, benzodiazepines or central nervous system depressants?
The website "https://allcare.centerx.com/#/login" is used for this key step in the BI process.
What is an E1 check?
These are the 4 ways an enrollment form may arrive to InSupport.
What are fax, email, website and mail?
A Hub Services provider interacts with these 5 key groups.
What are: patients; providers; insurance providers; manufacturers; and pharmacy?
The CPT code for Perseris.
What is 96372?
This is the active ingredient in Sublocade.
What is buprenorphine?
These are the 5 coverage types of PBMs.
What are: Commercial, Medicare, Medicaid, VA and Tricare?
This field, which is required before a Benefits Investigation can be done, must be completed by the patient's HCP.
What is diagnosis code?
Name 2 of the types of Financial Assistance Programs a Hub Services provider may support.
What are copay assistance and Payment Assistance Program (PAP)?
This is the NPI for AllCare Plus.
What is 1902167596?
The acronym REMS stands for this federally mandated program.
What is "Risk Evaluation and Mitigation Strategy"?
These are the 4 follow up questions to ask an insurance rep after being told that Perseris or Sublocade is NOT covered.
What are: Is a prior authorization allowed; is an appeal allowed; is a medical exception allowed; is a peer to peer review allowed?
When processing an EF, this is the first step that must be followed before creating a New Patient record.
What is confirming whether the patient is already in the system?
This two-word term refers to the phase of a patient's journey when their medication is delivered.
What is Pharmacy Dispense?
The doses that Perseris is available in.
What are 90 and 120 mg?
These are the two phases of Sublocade treatment.
What are induction and administration?
These are the 5 steps in the BI process flow.
What are: Open a BI case, Eligibility checks, Call insurance to verify coverage, verify if a PA is required/PA on file and email SOB to HCP and SP?
After inputting a completed enrollment form, the patient must be placed into this Status and Sub-status.
What are Pending (status) and Benefits Investigation (substatus)?
These are 5 of the key Care Manager functions.
What are: managing inbound and outbound calls; fax intake and data entry; electronic benefit verifications and phone benefit investigations; Following up with payers to check on prior authorizations, appeals, and medical necessity statuses; and, screening patients for financial assistance and other programs?
This is the non-Medicare billing code for Sublocade.
What is either Q9991 or Q9992.