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It's easy to dispense mandates from a national viewpoint, but to me it reflects that some people really don't understand how the average person, especially someone with financial assistance for medicines, is constrained in ordering more than the doctor prescribes.
I think that's the point of change: doctors need to script for longer than they normally do, unless it's a controlled substance.
I did notice that CVS is now delivering meds for free, so that's one way to address the problem.
Good points, and a good question. I'm anxious to see what suggestions others have.
I do hope those who are in great need of prescriptions will be able to get them.
In the meantime, I’m washing my hands often, keeping my immune system as strong as possible, and trying to get good sleep at night. I plan to be wise about meeting with large groups (or even small groups), and would definitely not want to risk exposing others if I had any illness or symptoms!
For Rx, pharmacies can deliver, so you do not have to go out to pick them up if a family member comes down with the virus.
Guidance to Medicare Advantage & Prescription Drug Plans Outlines Flexibilities
CMS issued new guidance to Medicare Advantage and Prescription Drug Plans offering the plans the option to employ certain flexibilities to increase access to treatment and services related to COVID-19, and explaining plan obligations when a state has formally declared an emergency.
Plan obligations in a state emergency include:
Covering services rendered at non-contracted facilities;
Waiving gatekeeper referrals; and
Providing the same cost-sharing to enrollees for services rendered at a non-contracted facility as charged at a contracted facility.
CMS also provides a list of permissive actions the plans can take, including:
Waiving or reducing cost sharing for any service aimed at treating or preventing COVID-19, including lab testing and telehealth;
Waiving pre-authorization for COVID-19 related testing and services; and
Expanding availability of telehealth services.
With regard to prescription drug access, plans are required to reimburse enrollees who have to utilize out-of-network pharmacies to obtain their drugs.
Plans are also permitted to:
Relax their “refill-too-soon” policies and allow affected enrollees to obtain the maximum extended day supply available under their plan;
Relax any restrictions with regard to their home or mail delivery options; and
Waive pre-authorization requirements for drugs used to treat or prevent COVID-19.
Continuing CMS Guidance on Response to COVID-19
CMS maintains a webpage containing much of its guidance related to COVID-19. The page is updated as guidance is released or modified.
Allow
Encourage
And other soft wording that still gives companies permission to deny or choose. Say Yes to cheap RXs or if you only have a few, say No if you are on many medications...which is usually the most vulnerable population.
I now understand why do many states have declared a State of Emergency, which is good. But the wishy-washy language for private insurance companies including Medicare Advantage is where the problem is! That and how long it took for these guidelines to come out.
Please correct me if I am wrong, but these are brand new guidelines. They should be in place every FLU season, at least severe ones. Hurricanes season, Fire Season in at risk zones, etc.
Allowing these exceptions once or twice a year would allow people to prepare before an emergency. After a tornado hit, or earthquakes, is too late & Drug Stores won't have the supplies.
Zicam Nasal Swab and
Cold Eeze OR Sambucal and
Vit C, 3,000 mg per day
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