Lafayette General Health
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University Hospital & Clinics Outpatient Pharmacy and Patient Assistance Program (PAP)
Hours of Operation are 8 a.m. – 12 p.m. and 1 – 4 p.m. Monday through Friday and we are closed on major holidays.
The pharmacy accepts Visa/MasterCard, cash and FSA cards. Although we do not allow personal charge accounts, there are several agencies within the community with charge accounts to help patients in financial need (Miles Perett, Acadiana Cares, Smile, 232-HELP, Sigura Center and the UMC Foundation).
The program intends to provide patients access to much-needed medications at an affordable cost. Better access to medication helps keep patients healthier, out of the emergency room and decreases hospitalization admissions. Revenue generated goes back into the program to provide more services for the indigent.
UHC is a “disproportionate share” hospital, which allows access to wholesale prices.
This service is ONLY for UHC patients who see UHC doctors at the UHC facility with documentation in their medical record of treatment with prescription(s).
Wholesale pricing offers lower costs than prices found in regular, outside drug stores, thus saving patients money.
Types of medication programs available:
Bulk Patient Assistance Drugs and Basic Formulary
- Patients must qualify as free-care eligible to access this program. These prescriptions are available in the pharmacy. There is an $8 processing fee per prescription filling.
Patient Assistance Program (PAP)
- Under this program, individual patient applications are sent to drug companies. Primarily, patients must qualify for free-care service without drug coverage but, depending on type of medication, drug companies may extend varying eligibility criteria. PAP requires various income documents to qualify patients. Drugs may be mailed to the pharmacy to dispense to patients (there is an $8 processing fee), may be mail-ordered directly, or patients may receive cards or vouchers for medications.
Cash Priced Prescriptions
- Patients not covered by programs may pay cash for medications. Patients who do have drug coverage often times have high copays, high deductibles, etc., and may choose to pay cash for medications instead of going through their insurance. Employees seeing UHC doctors in UHC clinics may pay cash for prescriptions.
The Outpatient Pharmacy at UHC currently accepts SilverScript and Windsor Medicare Part D plans, but does not accept Medicaid or private insurance. Free-care patients at UHC have access to various provisions, including GI prep kits, glucose meters and strips and insulin syringes. Any UHC patient has access to these, as well, at a cash price.
UHC participates in the Ryan White Program for HIV/Aids patients. Although dispensing is not active the present time, UHC does receive filled medications and distributes them to patients when they present at the pharmacy window. Projected date of resuming dispensing function is June 1, 2014.
PAP also helps the Inpatient Pharmacy get replacement medications from drug companies for medications dispensed for outpatient visits in clinics, especially chemotherapy drugs. This helps recoup the cost of expensive drugs given to free-care patients. PAP can also help patients learn about signing up for Medicare Part D plans.
The Outpatient Pharmacy also receives replacement products. For instance, Neulasta syringes costs about $2,200 apiece. In a month when UHC gives out 18 syringes, for instance, PAP will apply to the drug company to get 18 syringes replaced (worth $39,600).
Stats from January 2013 through December 2013
Number of PAP prescriptions (free drugs) dispensed to indigent – 27,530
Value of free drugs (from drug companies) dispensed to indigent – $827,071
Cost of drugs given through programs to indigent patients – $90,628
Number total prescriptions dispensed – 74,086
Total revenue collected from processing fees, Medicare, cash – $1,734,683
UHC averages dispensing about 350 prescriptions per day.
The pharmacy staff consists of two pharmacists, four pharmacy technicians, two Patient Assistance employees and a Director of Outpatient Pharmacy. Five employees have an average of 12-13 years experience working with the Outpatient Pharmacy and Patient Assistance Program. All employees are well versed in the programs offered to ensure that patients get the help they need. The pharmacy staff enjoys a professional, cordial and productive relationship with hospital staff (doctors, nurses, social services, case management) as well as outside agencies assisting our patients.
The UHC pharmacy utilizes the vast experience of its staff to handle whatever needs patients may present. They take pride knowing that they are helping those in the community most in need.