2013 Practitioner and Provider Manual - Presbyterian Healthcare ...
2013 Practitioner and Provider Manual - Presbyterian Healthcare ...
2013 Practitioner and Provider Manual - Presbyterian Healthcare ...
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Pharmacy8. Pharmacy8. Pharmacy<strong>Provider</strong> GuidelinesThe <strong>Presbyterian</strong> pharmacy benefit is an essentialelement in providing <strong>Presbyterian</strong> patients themedication they need while appropriately managingcosts. As the patient’s provider, you are the key tothe appropriate use of pharmaceuticals, whichincludesChoosing the best, most cost-effective drug<strong>and</strong> dosage form to treat the patient’scondition <strong>and</strong> complying with <strong>Presbyterian</strong>’sformulary requirementsMaking sure each patient clearly underst<strong>and</strong>sthe use of the drug, the correct dose, <strong>and</strong>possible side effectsLooking for key drug interactions <strong>and</strong>discontinuing ineffective drugsReviewing each patient’s medication list <strong>and</strong>dosages at every visitCarefully monitoring therapeutic drug levels asnecessaryPlease take time to become familiar with the<strong>Presbyterian</strong> prescription program <strong>and</strong> the<strong>Presbyterian</strong> formularies. These are helpful tools tomanage both quality <strong>and</strong> cost for our members.<strong>Provider</strong>s may obtain a copy of the formularies bydownloading them from http://www.epocrates.com/or by visiting the pharmacy page athttps://www.phs.org/providers/cliniciansresources/Pages/pharmacy-resources.aspx.You may also call us for additional assistance.Following is a list of phone numbers to expediteservice:Pharmacy Services Helpdesk Phone Number505-923-5500 or Toll Free 1-888-923-5757Pharmacy Services Fax Number505-923-5540 or Toll Free 1-877-640-5814ASKRXASKRX@phs.org is an email box we have createdto better serve providers. Any questions orconcerns can be emailed directly to this box, whichis monitored hourly by one of our clinicalpharmacists. Any email sent to ASKRX is answeredwithin one business day.National Drug CodeAs a reminder, you must bill with National DrugCodes (NDCs). For more information about thisrequirement, please see the NDC Procedure<strong>Manual</strong>, located athttp://docs.phs.org/idc/groups/public/@phs/@php/documents/phscontent/pel_00079542.pdf.Benefit GuidelinesThe following describes the general administrationof the <strong>Presbyterian</strong> pharmacy benefit. All productlines vary in structure. For example, some follow aclosed, generics-based formulary while others use8-12014 <strong>Practitioner</strong> <strong>and</strong> <strong>Provider</strong> <strong>Manual</strong> - Ver. 3
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