What is a PDAP?
A Patient Drug Assistance Program (PDAP) is a program run by different pharmaceutical companies that provides access to expensive medications for low-income patients. At EHHOP, we use PDAPs to be able to provide our patients with specialty medications (e.g., Enbrel, Eliquis) that are expensive and not provided by the Dispensary of Hope. These medications are sent directly to EHHOP, and patients pick them up in the clinic. Certain medications, such as those that are temperature-sensitive, can also be delivered directly to patient’s homes, although this does require close coordination between CCSs, patients, and pharmaceutical companies. If you are looking for medications that were sent to EHHOP, please ask the Teaching Seniors on duty for help.
Applying for a PDAP:
The first step in obtaining a PDAP for a patient is to check on the EHHAPP Formulary to make sure that it's not supplied by the Mount Sinai Pharmacy. You can also check on RxAssist to see if the medication is supplied by PDAP.
Also check with the Dispensary of Hope to see if their formulary includes medications not included in the EHHAPP Formulary. Many medications formerly covered by PDAPs, such as Trulicity, are now provided by the DOH. These medications should already be integrated in the EHHAPP Formulary, but confirm with the DOH Formulary page to ensure the medication isn’t available. If you are unsure, please reach out to the EHHOP pharmacy team.
If the medication is off-formulary and supplied by PDAP, please complete this form to request the correct documents, fill out the indicated sections, and then use the same form to submit the correct documents.
The pharmacy team will then submit the PDAP to the respective pharmaceutical company and will let you know if modifications are needed or when it's approved. You can see the status of a patient’s PDAP under the “Active” tab on the PDAP tracker. PDAPs that has been submitted to the pharmacy coordinator but have not yet been approved can be found in the “In Process” tab. If a medication has arrived, it is labeled as “In PDAP Box.” Please do not edit this document directly.
The senior clinician is responsible for ensuring the patient receives the PDAP medication in clinic and for telling the CMs that it's been distributed.
Once a patient is receiving a medication through PDAP, please make sure the medication is listed as a 'historical medication' on EPIC so it's not prescribed accidentally. Instructions for doing so are found here.
Each PDAP lasts one year and comes with four refills and the pharmacy team will call in those refills. At the end of the year/refills, the senior clinician will have to fill out the PDAP forms again.
Contact Information:
For help with PDAPs, please reach out to the Pharmacy Coordinators (see EHHOP Roster).