Frequently Ask Questions for prescriptions under Workers comp/auto injury (no-fault)

  • Does Valuecare Pharamacy accept faxed prescriptions ?

    Your physician’s office must fax prescriptions directly to Valuecare Pharamacy. All controlled prescriptions should be sent to us through e-prescribe or the original hard-copy must be mailed to us.

  • What is the preferred way to send my prescriptions to you?

    By asking your physician to use E-Prescribing

    We’re committed to using the power of technology to help Prescribers E-Prescribe in all care settings – ambulatory, acute, post-acute, long term, and specialty – play a more integral role in enhancing patient safety and improving patient outcomes.

    Find us on Surescripts

     

  • Can I transfer refills remaining on my prescriptions from my local pharmacy to Valuecare Pharamacy?

    Yes, we can transfer any remaining refills for most medications  from your local pharmacy. Certain medications are not transferable from one pharmacy to another. Please call Valuecare Pharamacy  for more information.

  • Does Valuecare Pharamacy send out my medication due for a refill automatically ?

    Valuecare Pharamacy  can enroll you in our AutoRefill program so you can  receive your medication on a  monthly basis, when it is due. If your medication was changed or you no longer require a particular medication, please contact Valuecare Pharamacy  so we can stop delivery.

  • When will I receive my medication?

    Most prescriptions are processed and mailed within 24 hours as long as we have received all necessary documents, Valuecare Pharamacy will send your prescription by USPS first class mail for delivery right into your mail box. If you need your medication to be overnighted please call our customer service representatives.

  • Should I be home to receive my medication?

    All control medications must have adult signature upon delivery. Or your medication  will be returned back to our pharmacy after 3 attempts to deliver the medication.

  • Can I get my medication sent to my work or PO box?

    Yes, in order to arrange to have your medication shipped to an alternate address please call our customer service representatives for special delivery arrangements.

  • I don’t have prescription card can I still get my medication?

    Yes, we will send bill to your insurance carrier.

  • Can you still help if my claim is closed?

    In some situations where a claim is disputed, or if a claim goes into Utilization Review,  Valuecare pharmacy may work on behalf of the injured patient to continue filling the prescription.

  • What happens if medications have been denied or deemed not medically necessary?

    We have Prescriptions At Cost (PAC) Program for medications that have been denied or deemed not medically necessary by a Utilization Review. This program can result in considerable costs savings. Those costs could be reimbursable, depending on the outcome of the dispute or review.

  • Do I have to pay for my medication?

    • No out-of-pocket charges to get your prescription filled.
      We bill the insurance company directly, eliminating the financial burden and inconvenience to you. You will never wait for another reimbursement check again.

 [/column]

Frequently Ask Questions for Attorneys

  • Why should I use Valuecare pharmacy if most of my clients are satisfied with their current pharmacy?

    Through our service, injured patients won’t have to worry about filling out claim forms; they won’t have to worry about how they’ll pay for an expensive medication; and they won’t worry about when the reimbursement check will come from the insurance carrier. That’s because Patients Valuecare pharmacy provides the injured patient with their prescribed medication at no out-of-pocket cost. And we’ll ship the medication right to their home or address of choice at no extra charge. We also take the hassle of dealing with the patients compensation insurance carrier . We’ll take the burdensome interaction with patients compensation insurance carriers off the shoulders of you and your staff, saving you time, effort and money.   Let us coordinate with the insurance carrier and physician to make sure that your client gets their medication quickly and accurately. Our staff is experienced, reliable, and dedicated to meeting the prescription needs of injured patients. There’s no cost to the attorney, only savings of time and money.

    If any disruption arise in the future we will help our patients to receive continuous care.

  • Do you accept patients with Personal Injury?

    At Valuecare Pharmacy we focus on delivering convenient, uninterrupted prescription care to those injured in accidents. We are your pharmacy partner in Personal Injury cases, Valuecare Pharmacy will provide convenient, uninterrupted care with no out-of-pocket costs, and hassle-free first prescription to assist uninsured or underinsured patients.  We work with thousands of personal injury attorneys and medical providers.

    Through this business network, injured patients can receive medical services on a lien or letter of protection basis deferred until the resolution of your personal injury case.

    How to Refer Your Workers’ Compensation Patients

  • What if the claim is denied/controverted or under utilization review?

    Yes,we have Prescriptions At Cost (PAC) Program for medications that have been denied or deemed not medically necessary by a Utilization Review. This program can result in considerable costs savings. Those costs could be reimbursable, depending on the outcome of the dispute or review.

  • Do you accept “disputed” cases?

Frequently Ask Questions - Physicians

  • Why should i switch my patients from opioids to topical pain cream ?

    With 44 people dying each day in the United States from an overdose of opioids, physicians see people affected by this epidemic on a regular basis—whether it’s in our local
    newspapers or in our own offices.

    Transdermal pain creams help to fight opioid epidemic.

  • What are the advantages in prescribing compounded transdermal pain creams?

     

    Advantages of transdermal drug delivery

    • Transdermal delivery allows drugs to solubilize in order to penetrate the tissue layers
    • Gels form liposomes that carry the drug down between the cells of the dermis and epidermis.
    • Minimizes Side Effects by delivering drug to the site of injury. Side Effects occur under 10% of the time.
    • Research confirms peripheral site of action for many of these drugs.
    • Multiple medications can be administered via transdermal route together in one transdermal base which is impossible by the oral route.
    • 75-85% of the medications in the compound available at the site via transdermal route, as opposed to 17% by oral route.
    • Increased patient compliance due to low incident of side effects and increased pain relief.
    • In majority of cases surgeries can be completely avoided, this can mean a great economic impact.
    • Transdermal delivery has a variety of advantages compared with the oral route. In particular, it is used when there is a significant first-pass effect of the liver that can prematurely metabolize drugs.
    • Transdermal delivery also has advantages over hypodermic injections, which are painful, generate dangerous medical waste and pose the risk of disease transmission by needle re-use.
    • In addition, transdermal systems are non-invasive and can be self-administered.
    • Transdermal pain creams help to fight opioid epidemic.

  • Can you provide references for transdermal drug delivery ?

    1. Guy RH, Hadgraft J, editors. New York: Marcel Dekker; 2003. Transdermal Drug Delivery.

    2. Williams A. London: Pharmaceutical Press; 2003. Transdermal and Topical Drug Delivery.

    3. Prausnitz MR, Mitragotri S, Langer R. Current status and future potential of transdermal drug delivery. Nat Rev Drug Discov. 2004;3:115–124. [PubMed]

    4. Bronaugh RL, Maibach HI, editors. Edn. 4th. New York: Marcel Dekker; 2005. Percutaneous Absorption.

    5. Miller MA, Pisani E. The cost of unsafe injections. Bull World Health Organ. 1999;77:808–811. [PMC free article] [PubMed]

    6. Foldvari M, Babiuk S, Badea I. DNA delivery for vaccination and therapeutics through the skin. Curr Drug Deliv. 2006;3:17–28. [PubMed]

    7. Glenn GM, Kenney RT. Mass vaccination: solutions in the skin. Curr Top Microbiol Immunol. 2006;304:247–268. [PubMed]

    8. Mayes S, Ferrone M. Fentanyl HCl patient-controlled iontophoretic transdermal system for the management of acute postoperative pain. Ann Pharmacother. 2006;40:2178–2186. [PubMed]

    9. Sieg A, Guy RH, Delgado-Charro MB. Noninvasive and minimally invasive methods for transdermal glucose monitoring. Diabetes Technol Ther. 2005;7:174–197. [PubMed]

    10. Morgan TM, Reed BL, Finnin BC. Enhanced skin permeation of sex hormones with novel topical spray vehicles. J Pharm Sci. 1998;87:1213–1218. [PubMed]

    11. Williams AC, Barry BW. Penetration enhancers. Adv Drug Deliv Rev. 2004;56:603–618. [PubMed]

    12. Smith EW, Maibach HI, editors. Boca Raton, FL: Taylor and Francis Group; 2006. Percutaneous Penetration Enhancers.

    13. Karande P, Jain A, Ergun K, Kispersky V, Mitragotri S. Design principles of chemical penetration enhancers for transdermal drug delivery. Proc Natl Acad Sci U S A. 2005;102:4688–4693. [PMC free article] [PubMed]

    14. Kogan A, Garti N. Microemulsions as transdermal drug delivery vehicles. Adv Colloid Interface Sci. 2006;123–126:369–385. [PubMed]

    15. Touitou E, Godin B. Enhancement in Drug Delivery. In: Touitou E, Barry B, editors. Boca Raton, FL: CRC Press; 2007. pp. 255–278.

    16. Sloan KB, Wasdo SC, Rautio J. Design for optimized topical delivery: Prodrugs and a paradigm change. Pharm Res. 2006;23:2729–2747. [PubMed]

    17. Kiptoo PK, Hamad MO, Crooks PA, Stinchcomb AL. Enhancement of transdermal delivery of 6-beta-naltrexol via a codrug linked to hydroxybupropion. J Control Release. 2006;113:137–145. [PubMed]

    18. Banga AK. London: Taylor & Francis; 1998. Electrically-Assisted Transdermal and Topical Drug Delivery.

    19. Kalia YN, Naik A, Garrison J, Guy RH. Iontophoretic drug delivery. Adv Drug Deliv Rev. 2004;56:619–658. [PubMed]

    20. Pikal MJ. The role of electroosmotic flow in transdermal iontophoresis. Adv Drug Deliv Rev. 2001;46:281–305. [PubMed]

    21. Subramony JA, Sharma A, Phipps JB. Microprocessor controlled transdermal drug delivery. Int J Pharm. 2006;317:1–6. [PubMed]

    22. Prausnitz MR. The effects of electric current applied to the skin: a review for transdermal drug delivery. Rev. 1996;18:395–425.

  • Logistically speaking, why would a patient not want to go to their local pharmacy?

    This depends on your state’s regulations. In most states, your patients have the right to choose their pharmacy. However, some states allow insurance carriers to direct your patients to certain pharmacies. Be sure you know the rules of your state in this regard.

  • Won’t it take up my staff’s time to send in prescriptions to VCP?

    Often times a patient’s injury can make moving around painful or difficult. Getting to pharmacy can be further complicated if they do not have access to transportation. As long as they have a physical address, UPS can deliver medications directly to your patient’s home.

  • Won’t my patients get their medications faster from their local pharmacy?

    Once your patients have enrolled with VCP they will receive their medication consistently each month, when it is due. They will not have to go through the pre-authorization process each month[1]. Our goal is to maintain continuity of care for your patient so that he or she can return to healthy and productive life as quickly as possible.

  • My patients are happy at their local pharmacy, why would they use VCP?

    VCP values patient choice. If your patient is happy with his or her current pharmacy and does not want to switch, then we will respect that decision. However, we encourage patients to be aware of all options so that they can make an informed decision. Your patients may not be aware of VCP and the benefits that ensue once on service.

  • My patients aren’t having Workers’ Compensation issues, why use VCP?

    Even if your patients aren’t having problems now with their local pharmacy, there’s a good chance that an issue can arise down the line that may cause a disruption in their prescription care. However, if enrolled in the VCP program they will be able to benefit from continuous care while we deal with any issues by working directly with the insurance carrier. Use VCP to prevent headaches for you and your patients; the best headache is the one you never get.