The generic name for Rexulti
What is Brexpiprazole
Medicaid, Medicare and Tricare are examples of this type of insurance category
What is government coverage?
This is a healthcare technology company that simplifies and streamlines the prior authorization (PA) process for prescription drugs
What is CoverMyMeds?
This is a process where health insurers review and approve certain medical services, procedures, or medications before they are provided to a patient, ensuring coverage and determining if the service is medically necessary
What is a prior authorization?
The daily meal allowance amount
What is $67 dollars?
The drug class that REXULTI is apart of
What are atypical antipsychotics
The amount a beneficiary must pay before Medicare begins to pay for services and supplies
What is a deductible?
BYH8NDS is an example of this type of identifier within the Hubservices/CMM platform
What is a PA key?
This is the amount of time between PA creation and FRM HCP PA/Appeal Follow-up activity are scheduled
What is 5 days?
This is Theresa's favorite accessory
What are hats?!
REXULTI is an atypical antipsychotic indicated for
What is an adjunctive therapy to antidepressants for
1. The treatment of major depressive disorder (MDD) in adults
2. Treatment of schizophrenia in adults and pediatric patients ages 13 years and older
3. Treatment of agitation associated with dementia due to Alzheimer’s disease.
In medicine, this is a list of prescription drugs covered by a health insurance plan or a healthcare system. It essentially acts as a directory of medications that are considered safe, effective, and cost-effective for patients.
What is a plans formulary?
The name of the activity FRMs complete within Hubservices is
What is FRM PA/Appeal Follow-up?
These are companies that manage prescription drug benefits for health insurers, large employers, and other payers. Acting as intermediaries, handling the administrative and financial aspects of prescription drug coverage.
What are PBM, or pharmacy benefit manager?
The software platform used by FRMs to book travel and manage/submit expenses.
What is SAP Concur?
The two savings programs offered by Otuska for patients
What are OPAF (Otsuka Patient Assistance Program) and the CoPay savings card?
This is an optional US federal government program that helps Medicare beneficiaries pay for prescription drugs
What is Medicare Part D?
C-HS6UJ is an example of this type of identifier within the Hubservices/CMM platform
What is a case key?
DAILY DOUBLE
HCPs and patients can complete this when a PA is denied
What is an appeal?
A character in the movie The Incredibles and the nickname of Joan's sweet daughter.
Who is Jack Jack?
DAILY DOUBLE
True or False: Rexulti is indicated for Bi-polar disorder
What is false?
BCBS, Atena, and United Healthcare are examples of this type of insurance category
What is commercial?
True or false: A PA is approved on a case and the activity is not needed, the activity should be completed as "unsuccessful virtual outreach"
What is False?
Insurance payers often use this term to describe the conditions that must be met for a service to be approved.
What are medical necessity criteria?
What is $175 per night