Medicine
Give an example of dosing forms that are considered non- countable.
lotions or creams
Number of retail prescription filled annually in USA?
four billion.
What is the tool that we use to find if a pharmacy is in network?
Pharmacy Finder
Name 3 communication methods
Mail, text, call, email
True of False.
If a member is calling to verify if the yellow pill she got is the one she should take for a headache, we should let here know " what doesn't kill you makes you stronger" and move on with the next call.
FALSE
Name 3 administrative methods for medication
oral, nasal sprays or mist, patch, lotion or crema & injectable under skin
what does NDC stand for?
National Drug Code- unique identifier for medication.
Share the difference that between a preferred pharmacy and a standard pharmacy.
medication cost
what is the name of the window/tool you use to locate communication between Humana and the member?
RTI
Regarding lost, stolen or damaged medication what options does the member have?
get samples from doctor, call 211, get help with house insurance, get coupons or discounts manufacture and ask for a split refill at local pharmacy.
Name 4 medication dosing forms.
Capsules, tablets, liquids, semi- solids, aerosols, injectables, lozenges and suppositories
Name 2 types of Prescribers.
Medical doctor, nurse, dentist and mental health provider.
Name 3 preferred pharmacy from Humana network.
Centerwell, walmart, sams club, walgreens, CVS, Rite Aid
What is a Smartsummary?
Communication mandated by CMS that includes a list of medications member have purchases, the total cost and payments made?
What department handles Prior authorization for meds?
Humana Clinical Pharmacy Review team HCPR
Name the 4 Drug Classifications
Provided the 3 dispensing locations for part D medication.
Retail store, Home delivery & Doctors offices.
What are the 2 names of Humana's pharmacy?
Centerwell pharmacy & Centerwell specialty pharmacy
what is the C/I for a smartsummary inquire call>
Communication/ Smartsummary
Who handles the extra help application?
SSA
Name 4 examples of medication not covered by Humana
Experimental drugs, repackaged drugs, re-imported drugs, excluded from CMS list & replace lost, stolen damage medication.
Were is the RX PCN number located for members?
Humana ID card
it's a team that encourages members taking high-cost medication to discuss switching to a lower cost alternative with their doctor.
True or False.
medication given at a hospice center is covered under medicare part D
FALSE