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ASHP Has encouraged biosimilar adoption
Bill limits medical marijuana use to ointments and inhalation of vapors
Help Kansas Pharmacy Foundation bring the When Everyone Leads Experience to Kansas-licensed pharmacy practitioners, pharmacy technicians, and students at the University of Kansas School of Pharmacy! The program is designed to inspire a transformation in how people define and practice leadership and will take place April 26 & 27. For $500 each, you can sponsor one or more of those chosen to attend the inaugural class! Sponsors are invited to attend the opening reception on Friday, April 26, at the KU School of Pharmacy from 5-7 p.m.
Policies to meet privacy rules can vary wildly
KPhA is collecting data regarding PBM practices in Kansas. Complaints need to originate from Kansas pharmacists or pharmacies, and not from those entities on behalf of individual patients/consumers. Complaints should include as much detail as possible but NOT include any details that would constitute a HIPPA violation, including Rx-specific information. Once submitted, data will be sent directly to the Kansas Insurance Department. Access the complaint form at /resources/pbm-complaints .
PBM audits regularly target eye medications looking to recoup on claims for incorrect days' supply or early refills. For this reason, it is important that pharmacies are both aware and have a proactive plan to ensure appropriate billing and documentation. As with all prescriptions, the day supply is a function of quantity dispensed and daily dose; however, there are a few additional considerations that may impact what days' supply is correct. PBMs each have their own drops per mL estimates for eye drops that are published in Provider Manuals and vary from 15-20 drops per mL for solutions and 12-20 drops per mL for suspensions (or emulsions). There is no industry accepted conversion for gel or ointment products. In addition to the mathematical days' supply calculation, pharmacies must also consider the individual product beyond use date as specified by the manufacturer. In general, eye drop products are considered to be safe to use until the printed-on expiration date; however, there are a few products with specified beyond use dates (e.g., Xalatan® is 42 days). Pharmacies can visit DailyMed 1 for medication information, including How Supplied/Storage and Handling requirements under Section 16 of the drug label information or review product labeling included inside the box. Additional considerations include if the patient has an antibiotic or steroid product with a specific treatment duration such as use for 10 days, then stop or if the patient is having cataract surgery separately on each eye and the prescriber wants the patient to discard the bottle used on the first eye and get a refill for the second eye for infection control purposes. PAAS Tips: • PAAS Audit Assistance 2 members can login to the Member Portal to find the most current version of PAAS' Eye Drop Chart with major PBM Drops per mL conversions • If billing eye drops for a PBM not listed on the PAAS chart, PAAS suggests using 20 drops per mL for solutions and 15 drops per mL for suspensions • A quantity of “1” or “one bottle” on a prescription should be interpreted as the smallest package size • PAAS suggests eye drop products NOT be included on LTC cycle fill or retail medication synchronization programs, and only refilled upon patient request PAAS National® is committed to serving community pharmacies and helping keep hard-earned money where it belongs. Contact PAAS today at (608) 873-1342 or info@paasnational.com to see why PAAS Audit Assistance membership might be right for you. By Trenton Thiede, PharmD, MBA, President at PAAS National®, expert third party audit assistance, FWA/HIPAA and USP 800 compliance. References: 1. https://dailymed.nlm.nih.gov/dailymed/ 2. https://paasnational.com/audit-assistance/ Copyright © 2024 PAAS National, LLC. Unauthorized use or distribution prohibited. All use subject to terms at https://paasnational.com/terms-of-use/.
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Use government stock for un/underinsured patients; transition to commercial products for insured
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It is that time of year again; flu shot season is upon us. As busy as this season can be, we know you do not want to worry if you have all the documentation you need in case of an audit. Make it easy on yourself by ensuring you are ready now by following PAAS National®’s best practices to reduce your risk of audit recoupment. What you will need for an audit: 1. Authority to administer • A signed order from an authorized prescriber • A signed protocol that is up to date and includes specific vaccination(s) to be administered or a Collaborative Practice Agreement (CPA) o When using a protocol or CPA, create a placeholder prescription with all prescription elements • In states where pharmacists have independent authority to vaccinate, create a placeholder prescription with all prescription elements 2. Vaccination Information Statement (VIS) • Required to be given to patient prior to each administration • Be sure you have the most current VIS forms 3. Screening Checklist • Not requested by PBMs, however should be retained for your records 4. Vaccination Administration Record (VAR) • Date of Administration • Name of vaccine administered and manufacturer • Lot and Expiration Date of vaccine given • Site of administration (i.e. right arm) • Signature or initials and title of person administering • What VIS form was given o Date printed on the VIS o Date the VIS was given to the patient or parent/guardian VAR and VIS forms, and information regarding what the CDC requires for health care providers to record, can be found on the CDC website 1 . PAAS Tips: Check dates and vaccine types on your protocols to ensure they are up-to-date Have current VIS forms printed for each vaccine you administer Have VAR forms printed and educate all staff on how to complete the forms All vaccines should be submitted using days’ supply of “1” per NCPDP recommendations All vaccines administered via protocol should be submitted with origin code of “5” (pharmacy created) per NCPDP recommendations Be sure correct metric quantity is billed Keep vaccine documents stored in a system that makes access easy in case of an audit When billing for vaccine clinics, DO NOT bill prior to the vaccine being administered You may submit claims after the date of service, but the date of administration must be correct on the claim PAAS has seen pharmacies flagged for billing claims outside regular pharmacy hours – consider billing for vaccine clinics during regular business hours PAAS National® is committed to serving community pharmacies and helping keep hard-earned money where it belongs. Contact PAAS today at (608) 873-1342 or info@paasnational.com to see why PAAS Audit Assistance membership might be right for you. By Trenton Thiede, PharmD, MBA, President at PAAS National®, expert third party audit assistance and FWA/HIPAA compliance. Copyright © 2023 PAAS National, LLC. Unauthorized use or distribution prohibited. All use subject to terms at https://paasnational.com/terms-of-use/ . References: 1. https://www.cdc.gov/vaccines/hcp/admin/document-vaccines.html
Meet with KPha's newest strategic partner - Unified HEalth plan
We are excited to announce that our new website has launched - check out the new and improved www.ksrx.org ! Membership information has transferred, but you will need to create a new password to access the account. How to log in to the new KPhA website Click here to reset your password Enter your email (same one you used on the old KPhA website) and click "Continue" Follow the link sent to your email to create a new username and password Log in with your new credentials Check out this video for a tutorial in creating your new login. If you have any questions or find an issue with the site, feel free to reach out to amanda@ksrx.org or jen@ksrx.org this week to help. Video Transcript: - On a desktop, click on the blue “Member Log In” button on the top right corner. A new page will pop up that says “Log into your account.” Under the login boxes, you should click on “Having trouble logging in?” and enter the email address associated with your KPhA account. (Tip: check what email this email was sent to to know for sure what email address to use!). An email will be sent to create a new username and password, which you can then use to log in to your account. - On a tablet or mobile device, tap the three bars at the top right corner. A menu will drop down with “Member Log In” in gold under the KPhA logo – tap that to bring up a new page that says “Log into your account.” Under the login boxes, you should click on “Having trouble logging in?” and enter the email address associated with your KPhA account. (Tip: check what email this email was sent to to know for sure what email address to use!). An email will be sent to create a new username and password, which you can then use to log in to your account.
UMKC School of Pharmacy is offering the APhA Pharmacy-Based Immunization Delivery certification. This course can be taken at any of its three campus locations (Kansas City, MO; Columbia, MO; or Springfield, MO) on Thursday, Aug. 17 with sign in at 7:45 a.m. and wrap up at 6:30 p.m. Lunch will be provided. Prior to attending the all day program, attendees will receive a link to start their home study, which is 12 hours of CE on vaccine information. The additional eight hours of CE comes with attending the all day program and successfully providing three mock injections at the end of the day. The website to access the online materials will release no later than Aug. 1, providing over 2 weeks to prepare. If you are interested, please register and pay by July 31 . Seats are limited.
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