Get the free Specialty Pharmacy Program Expansion - Level of Care Review FAQs

The expanded program does not apply to the following plans HMO BlueCard Medicare Advantage Medicaid Medicare Supplement and Federal Employee Program FEP. The complete list of drugs reviewed for level of care is available at www. aimprovider. com/specialtyrx. Q2. A2. What is changing for dates of service beginning July 1 2016 The clinical guideline Level of Care Specialty Pharmaceuticals CG-DRUG-47 will apply to the review process for specialty drugs beginning with dates of service July 1...

How to fill out specialty pharmacy program expansion

How to fill out specialty pharmacy program expansion

1. Step 1: Gather all necessary information and documentation required for filling out the specialty pharmacy program expansion.
2. Step 2: Review the guidelines and requirements provided by the specialty pharmacy program to ensure compliance.
3. Step 3: Fill out the application form accurately and completely, providing all requested information.
4. Step 4: Attach any supporting documents or evidences required by the program, such as certifications or licenses.
5. Step 5: Double-check the filled application form and attached documents for any errors or omissions.
6. Step 6: Submit the completed application form and supporting documents to the designated authority or contact provided by the specialty pharmacy program.
7. Step 7: Follow up with the program to ensure the application is received and processing is initiated.
8. Step 8: Respond promptly to any additional requests or clarifications from the program regarding your application.
9. Step 9: Await the decision and notification from the specialty pharmacy program regarding the approval or rejection of your application.
10. Step 10: If approved, proceed with the necessary steps to expand your specialty pharmacy program as per the guidelines provided by the program.

Who needs specialty pharmacy program expansion?

1. Pharmaceutical companies or organizations looking to expand their specialty pharmacy program
2. Healthcare providers or institutions aiming to enhance their capabilities in providing specialized pharmaceutical services
3. Insurance companies or payers seeking to improve patient access and outcomes in specialty medication management
4. Individuals or groups interested in starting a new specialty pharmacy program to serve specific patient populations with complex medical conditions
5. Government agencies or departments focusing on developing and promoting specialty pharmacy programs for public health benefits

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What is specialty pharmacy program expansion?

Specialty pharmacy program expansion refers to the process of increasing the scope and services offered by a specialty pharmacy program.

Who is required to file specialty pharmacy program expansion?

Healthcare providers and organizations that offer specialty pharmacy services are required to file for specialty pharmacy program expansion.

How to fill out specialty pharmacy program expansion?

To fill out a specialty pharmacy program expansion, providers must submit the necessary documentation and information regarding the expansion of their specialty pharmacy services.

What is the purpose of specialty pharmacy program expansion?

The purpose of specialty pharmacy program expansion is to provide a wider range of specialized services and medications to patients with complex medical conditions.

What information must be reported on specialty pharmacy program expansion?

Information such as the types of medications offered, new services provided, and the impact on patient care must be reported on specialty pharmacy program expansion.