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STOF Medications and Durable Medical Equipment
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Purpose
to cover a high-cost short term supplies essential to saving lives and preventing serious complications when the need is acute and cannot wait for the month-long processing time of a PDAP
Eligibility
Dr. Meah, NP Skovran, Chief Teaching Seniors and Pharmacy Chair determine the need using clinical judgement and taking into consideration the following criteria for use:
Patient must urgently need a drug that is not available through our formulary
Our formulary does not provide a similar and sufficiently effective drug for the same purpose
The patient is in the process of completing a PDAP for long term funding of the drug
Patient must have an urgent need for this drug and if he/she should not acquire the drug would face significant risk to health and/or impending or repeat hospitalization
Prescriptions given out by this fund should only be good for one month each with zero refills
Protocols
When possible, medications will be directly acquired through the ISMMS pharmacy
If the above not possible, the alternative is Metropolitan Pharmacy at 102 and 2nd
Pharmacy Chair will record medication, indication, amount dispensed and cost
Pharmacy Chair will email ACT Benefits chair with the above information for each PAF expenditure
ACT benefits chair will submit the google form when cost is finalized and keep a running record in the google spreadsheet
Pharmacy chair will ensure that a PDAP is in process for long-term acquisition of the med should it be needed for more than 2 months. Pharm chair must also begin a conversation with the clinic team about a backup plan should the PDAP not be approved. Examples include: HHC Application, Finding Insurance coverage, Beginning Green Card Process or other immigration status change, Using other EHHOP funds
In the event that getting a PDAP is not an option the clinic team will reassess the need and develop a new plan based on previous backup plan conversations
Prescriptions supported fund should only have a duration of 1 month supply with zero refills and the clinical team should reassess need and use of fund at each refill
Since receipts are already directly submitted to MedEd the pharmacy chair will be responsible for filling out the google reimbursement form (not for the purposes of being reimbursed but for tracking) whenever this fund is used to cover medication
EHHOP PAF GOOGLE FORM
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