Indigent Patient Medication Program

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Indigent Patient Medication Program
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What is it?

• A program designed to enable qualifying patients
  to obtain free or low cost medications directly
  from drug companies

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Serves over 10,000 of our patients

• In 2003 over 12,000 prescriptions were processed
• 1.5 million in value

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Obtaining medications for those who have minimal
resources requires the efforts of several
different groups of individuals(including the
patient)
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Who makes it work?

• Drug Companies
• Physicians
• Case managers
• Social Services
• Pharmacy
• Patient

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Who makes it work?Drug Companies

• Physicians
• Case managers
• Social Services
• Pharmacy
• Patient

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Drug Companies

• Virtually all drug companies participate
• Each have their own program
• Requirements differ from one company to another
  or one drug to another
• Not all medications are available

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• How does one determine all of that information!!

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THE M D CARES PROGRAM WILL DO IT FOR YOU!

• On-line database available to all Case Managers
  Social Service workers
• Provides ability to determine a drug companys
  requirements
• View by medication name
• Ability to print forms required to submit patient
  application
• Updated on a daily basis

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M D CARES (continued)

• Database contents
• Patients
• Physicians
• Application for medication forms
• Current claims in progress
• Submitting department and user
• Claims processed

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M D CARES (continued)

• Anyone who submits medication requests must use
  the CARES program
• Training is readily available through the
  pharmacy
• Phone 5-8488
• User guide available online _at_http//www.sh.lsuhsc.
  edu/policies/policy_manuals_via_ms_word/formulary/
  index.htm

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Who makes it work?Physicians

• Drug Companies
• Case managers
• Social Services
• Pharmacy
• Patient

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Physicians

• Diagnose
• Write prescriptions
• Refer patient to Case Manager or Social Service
  department
• Provide information required from drug company to
  Case Manager / Social Services
• Sign application form
• Provide medication to patient upon arrival

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Who makes it work?Case Managers

• Drug Companies
• Physicians
• Social Services
• Pharmacy
• Patient

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Case Managers

• Interview patients in need to determine
  eligibility
• Enter information into CARES program or direct
  patient to Social Service Dept.
• Point of Contact for medication delivery to
  proper clinic / service.

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Who makes it work?Social Service Department

• Drug Companies
• Physicians
• Case Managers
• Pharmacy
• Patient

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Social Service Department

• Interview patients in need to determine
  eligibility
• Enter information into CARES program
• Point of contact for medication delivery to
  proper clinic / service
• Submit forms
• Obtain physician signature
• Notify patient when medication has arrived

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Who makes it work?Pharmacy

• Drug Companies
• Physicians
• Social Services
• Case Management
• Patient

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Pharmacy

• Provide CARES program to users
• Maintain Database Upgrades
• Clearinghouse for all medications that arrive
  then sort and make available to all Physicians
  and their respective service areas
• Provide No Clinic List for medications with
  unknown origin or final delivery point to all
  Case Managers and Social Service workers
• Notify Social Service Department when medications
  arrive and are ready for the patient to pick up
• Focal point for all questions regarding LSUHSCs
  Indigent Medication Program

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Who makes it work?Patient

• Drug Companies
• Physicians
• Social Services
• Pharmacy
• Case Management

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Patient

• Responsible for providing information as required
  by drug companies
• After receiving notification that their
  medication has arrived, they must insure timely
  response to pick them up from the clinic
• All questions by patients must be directed
  towards their Case Manager or Social Service
  Worker

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Questions?

• Dale Potts Medical Service Area Coordinator for
  Pharmacy
• Jpotts_at_lsuhsc.edu
• Phone 7595
• Return to Indigent Program Web Site