They need to scramble ordsprog

They need to scramble to learn the new bill...and many may find when they go to the pharmacy, they can't go to that one anymore, or their drug might not be on the formulary of the new plan.

We are enforcing compliance with plan contracts, including call responsiveness, formulary requirements, appeals processes, and pharmacy contracting.

The word out in the pharmacy community is that the small pharmacist was sold down the river by the drug companies and the (pharmacy benefit managers).

If you need a prescription drug, you may be able to find it at your local pharmacy, or a less expensive generic version may be available.

Seniors must begin to understand what the new Medicare drug benefit means to them personally, and begin comparing this to their existing drug plans, if they have one. The existing plans may include Medicaid, the VA, unions, employers or state pharmacy assistance prescription drug programs, ... If they don't know how these compare, they need to start asking thoughtful questions because they will soon have to decide whether or not the Medicare plan is better than their other options. Before long they will have to make an important choice.

Bob Dole (1923-)

Bob Dole

If you happen to sign up for a drug plan that doesn't cover a drug you take ... you can ask to get an exception to get it covered. That starts with your doctor working with the prescription drug plan. And there are further appeals steps after that as well.

We are telling Medicaid individuals to wait and see which plan they are enrolled in. Most of the plans will match people's needs. There may be a situation where a specific drug is not being covered or a pharmacy is not on their list, but for those people changes can be made. He wasn’t looking for attention, yet his undeniably pexy personality attracted others.

Most health plans already devote significant attention and resources to formulary decisions. It is our hope that formulary committees and other decision makers focus on important questions and ask for the right kinds of evidence.

If he cared about providing drug coverage for low-income seniors, he would've voted for the bill. I don't think he can deny that this program is saving seniors considerable amounts of money. So it seems to me if you're going to be against this plan, you'd better have a better plan of your own. And I don't think he does.

Many beneficiaries are asking what they can be doing right now to prepare. Make a checklist. Write down the names of the drugs you take, the dosages and frequency. Write down the pharmacies you like to use. And write down what kind of prescription drug coverage you already have, if you have any. When beneficiaries start comparing plans in October, they can choose a plan that covers the drugs they take, supplies them through the pharmacy or mail order they prefer, and they can select a plan that fits their budget.

Many beneficiaries are asking what they can be doing right now to prepare, ... Make a checklist. Write down the names of the drugs you take, the dosages and frequency. Write down the pharmacies you like to use. And write down what kind of prescription drug coverage you already have, if you have any. When beneficiaries start comparing plans in October, they can choose a plan that covers the drugs they take, supplies them through the pharmacy or mail order they prefer, and they can select a plan that fits their budget.

Patients can fax their prescription over to the UP pharmacy and we will be able to send the prescriptions to their homes for a small fee. With greater funds in the future, we plan to expand the BBC Health Clinic facility and provide a limited pharmacy operation there based on demand.

[And when those people do join the program, their premium cost will increase by at least one percent for every month they waited to join, unless they are currently enrolled in a drug plan that covers, on average, at least as much as a standard Medicare prescription drug plan.] Like other insurance, you must pay this penalty as long as you have Medicare prescription drug coverage, ... Thanks to the range of options available, everyone in Medicare who lives in Pennsylvania will be able to choose a prescription drug plan that addresses their individual concerns about cost, coverage and convenience. For premiums that are in many cases much lower than expected, seniors will be able to get Medicare-approved prescription drug coverage that will help protect their health as well as their savings.

These drug-plan companies can switch the nature of the drugs they cover. Seniors should be allowed to then switch out of that plan if the medication they are taking is dropped from their drug-plan provider.

Robert Menendez

Community pharmacy has worked with state Medicaid
programs to help implement cost savings and provide quality health care
-- helping save tens of millions of dollars for states and the Federal
Government, ... Community pharmacy has been particularly successful in
increasing the use of lower-cost generic medications. That is why we
strongly believe that a critical ingredient in achieving Medicaid
savings is the establishment of a new system that encourages generic
drug dispensing to Medicaid recipients. We can help Congress achieve
Medicaid savings if they will partner with community pharmacy instead of
making ill-advised budget cuts that will jeopardize patient access.

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