Transcript Slide 1

Iowa Collaborative Safety Net Provider
Network
Pharmacy Initiative
4-04-07
U of I School of Pharmacy
Pharmaceutical Management
For Underserved Population
Ted Boesen
Executive Director, Iowa/Nebraska Primary
Care Association
Iowa Collaborative Safety Net
Provider Network
Members
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Free Clinics
Rural Health Clinics
Community Health Centers
Proposed 07-08 Appropriation
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SSB 1205
Budget
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Pharmacy Initiative: $500,000
Specialty Care Initiative: $500,000
Recruitment: $280,000
Evaluation: $30,000
Data Collection: $75,000
Provider Awards: $700,000
IA/NEPCA: $100,000 (Network administration)
Members of the Pharmacy Initiative Expert
Panel
Iowa Pharmacy Association
University of Iowa College of Pharmacy
University of Iowa Hospitals and Clinics
Drake University College of Pharmacy
Free Clinics of Iowa
Iowa Prescription Drug Corporation
Community Health Centers
Pharmacy Initiative
Drug Donation Program
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Iowa Prescription Drug Corporation (IPDC) is
establishing a Drug Repository for distribution of
donated drugs
The distribution will initially focus on the safety
net providers
Manufacturer Assistance Program (MAP)
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Exploring development of model with multiple
pharmaceutical companies using same intake
Patient would pay dispensing fee to pharmacist
Pharmaceutical Company to give pharmacy
replacement medications
Drug Discount Card
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Provided to patients to buy medications at a
predetermined price that includes the discounted
medication price, pharmacy dispensing fee and
administration fee.
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This drug list will include medications falling into
pricing categories such as $10, $20, $30 etc.
Development of Centralized
Intake/Determination of Income Eligibility
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Intake forms will be available and filled out by
patients at site of care; Free Clinic, CHC, RHC etc.
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Forms sent to Iowa Prescription Drug Corporation
(IDPC) for processing and verification of eligibility
level.
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The eligibility information will be used for
accessing medications through the Manufacturers
Assistance Program (MAP) and Drug Discount
Program
Accessing Medications
Free Clinics
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Drug Donation Program
MAPs
Purchase of medications using state appropriated
dollars
CHCs and RHCs
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CHC’s 340B Program
• Contracts with Retail Pharmacies
• Inhouse Pharmacies
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Drug Donation Program (as availability allows)
MAPs
Drug Discount Card Program
Additional Activities of the Pharmacy Identified by the
Expert Panel
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Education for patients, healthcare providers and pharmacists
on the availability of the pharmacy initiative programs
Increased promotion and use of the Provider/Pharmacist
Collaborative Agreement
Quality care through patient education and medication
review by their pharmacists
Selection of an Oversight Committee to assure the available
programs remain appropriate based on the ever changing
availability of medications
Use of a Pharmacy and Therapeutics Committee and ongoing
Drug Utilization Review to evaluate drug plans for inclusion
of appropriate medications for the desired therapeutic
outcomes while providing quality, safe and effective care.
Evaluation/data collection to determine not only the number
of people accessing medications and number of prescriptions,
but also evaluation of the efficiency and effectiveness of the
programs.