DiversifyRx

MARCH 27, 2025

In this blog, Im going to break down the two biggest red flags you need to watch for so you can avoid costly mistakes and keep your pharmacy protected. Many pharmacies lose money when billing insurance for name-brand diabetic testing supplies. Ensure you only purchase from an AD for supplies that you bill to any third-party insurance.

Inventory Audits 52

Inventory Audits Insurance Documentation 52

DiversifyRx

FEBRUARY 16, 2025

Deductible Employee Costs: Salaries and wages Health insurance premiums Retirement plan contributions Training and professional development expenses (like going to the Pharmacy Profit Summit !) Alternatively, deduct actual expenses, including gas, maintenance, and insurance. For more tax savings, check out my earlier blog HERE.

Insurance 52

Insurance Independent Pharmacies Compounding Communication 52

Board Vitals - Pharmacist

JANUARY 11, 2024

Insurance providers: Consultant pharmacists advise healthcare facilities or insurance providers on patient medication use or on how to improve pharmacy services. The post Celebrating National Pharmacist Day appeared first on BoardVitals Blog.

Retail Drug Stores 98

Retail Drug Stores Hospitals Insurance Patient Care 98

Pharma Marketing Network

APRIL 27, 2025

Lead Types in Pharma In pharmaceutical marketing, leads can be categorized into HCPs looking for treatment data, patients exploring therapy options, or even insurers needing health economic outcomes. Leverage Owned and Operated Channels Use your brand website, blog, and educational portals to capture leads.

Health and Personal Care Stores 52

Health and Personal Care Stores HIPAA FDA Insurance 52

Omnicell

JANUARY 10, 2023

Quality Insurance Analyst, biotechnology master's student, and former Omnicell intern Q: What was the best part of your internship? Quality Insurance Analyst, biotechnology master's student, and former Omnicell intern Submit your application to internships and open jobs at omnicell.com/careers or send us an email at recruiting@omnicell.com.

Omnicell 98

Omnicell Insurance Communication 98

Pharmacy Is Right For Me

JANUARY 25, 2023

In addition to learning more about unique pathways on our new webpage, we’ll also be featuring pharmacists who work in these unique settings on our blog. These cover everything from marketing, technology platforms, insurance companies, and collaborators. Today, we’re excited to spotlight Franklin Roye.

Community Pharmacies 130

Community Pharmacies Insurance Patient Care 130

PQA

SEPTEMBER 26, 2024

Validating CTR as a Measure of COPD Exacerbation Risk The study aimed to validate CTR as a measure of COPD exacerbation risk separately within Medicare Advantage and commercially insured populations and evaluate CTR as a predictor of COPD exacerbation risk. Read the full AJMC article for additional information and full results.

Insurance 52

Insurance 52

Digital Pharmacist

OCTOBER 6, 2023

This blog post breaks down the key aspects of the Prescription Drug Reform Act and how it affects pharmacies in Florida. To note, the Office of Insurance Regulation (OIR) will oversee PBM conduct in Florida. When it comes to the PBM changes, there are some practical matters to take into consideration.

Insurance 105

Insurance 105

The Pharmacist Blog

MAY 11, 2015

ESSB 5557 requires health insurance carriers to recognize pharmacists in the same way as other providers such as physicians, nurse practitioners, and physician assistants. Provider status has always been the achilles heel for pharmacist being able to bill for their services to insurance companies. What are your experiences?

Insurance 52

Insurance 52

pharmaphorum

JANUARY 24, 2023

The RxPass service – open to Prime members – provides access to a range of more than 50 generics that are widely used to treat more than 80 common conditions, such as high blood pressure, anxiety, menopause and acid reflux, said Amazon in a blog post published today.

Generic Medicine 59

Generic Medicine Insurance 59

Omnicell

JANUARY 10, 2023

In a manual for hemophilia treatment centers, the agency states it is concerned that providers would have no reason to participate in 340B if insurers take the benefit of 340B savings from them. Disclaimer The views and opinions expressed in this blog are those of the authors. Subscribe today.

Hospitals 96

Hospitals Omnicell Insurance Documentation 96

The FDA Law Blog

OCTOBER 9, 2023

We previously blogged about this lawsuit last year. The ACA sets an annual cap on the amount that insurers can require insured individuals to pay out of pocket for their medical expenses. The insurer still accepts the manufacturer payment, but also collects the full deductible from the patient.

Insurance 40

Insurance 40

Omnicell

JANUARY 10, 2023

More and more commercial insurers are insisting on contract terms that require covered entities to accept reimbursement rates that can be significantly below the rates offered to non-340B providers and pharmacies, resulting in an indirect transfer of 340B savings from the covered entities to the insurance companies and pharmacy benefit managers.

Insurance 52

Insurance Hospitals 52

Digital Pharmacist

JULY 21, 2022

MCCPDC is able to offer low pricing because they “cut out the pharmacy middlemen and negotiate directly with manufacturers” In this blog, we will explore the differences between independent pharmacies and Mark Cuban Cost Plus Drug Company and how MCCPDC could potentially affect independent pharmacies. .

Independent Pharmacies 52

Independent Pharmacies Insurance Prescription Filling 52

The FDA Law Blog

NOVEMBER 27, 2023

According to the prosecution, Defendants Chu and Loh: deliberately withheld information about the defective and dangerous dehumidifiers from the retail companies that bought the dehumidifiers; from the insurance companies that paid for damage caused by the fires resulting from the dehumidifiers; and from the CPSC.

Insurance 104

Insurance 104

The FDA Law Blog

JUNE 27, 2024

Alternating Between Cash and Insurance According to the government’s expert, patients paying for prescriptions with insurance and for others with cash is a red flag for those paid with cash. paid for some medications with insurance while paying for other controlled medications in cash, and Patient M.W. By Larry K. Patient J.C.’s

Controlled Substances 52

Controlled Substances Documentation Insurance Dosage 52

Board Vitals - Pharmacist

JULY 24, 2024

Navigating the legalities of telehealth across different states and dealing with varied insurance policies further complicates the widespread adoption of teledermatology. appeared first on BoardVitals Blog. Additionally, protecting patient privacy and ensuring data security in the digital realm is critical, yet complex.

Patient Care 52

Patient Care Insurance 52

Board Vitals - Pharmacist

DECEMBER 1, 2023

It includes insurance verification so that staff can communicate financial responsibilities to patients and engage them at the outset. Regardless of the term you use, communicating with patients in order to improve their care, compliance, and satisfaction is a worthy goal.

Communication 98

Communication Patient Care Documentation Insurance 98

PQA

DECEMBER 3, 2024

This guest blog is one in a series by sponsors of the 2024 PQA Leadership Summit on why a large diverse clinical pharmacy network is so important to payer performance. Beneficiaries who share an insurance plan don’t necessarily frequent just one pharmacy for their medication refills or consultations. More targeted member interventions.

Documentation 52

Documentation Insurance 52

Aureus Medical Group

OCTOBER 19, 2022

Pet insurance, paid licensure, paid immunizations, and more! The post Top 5 Travel Healthcare Myths appeared first on Aureus Medical Group’s healthcare blog provides articles and information regarding careers in travel nursing, travel therapy, allied health and more. Unlimited loyalty and referral bonuses. 401k with company match.

Packaging 98

Packaging Communication Insurance Immunization 98

Aureus Medical Group

OCTOBER 26, 2022

The post Aureus Medical Referral and Loyalty Bonuses appeared first on Aureus Medical Group’s healthcare blog provides articles and information regarding careers in travel nursing, travel therapy, allied health and more. Plus, new jobs are added all the time! Start your search today – don’t forget to tell your friends, too!

Insurance 52

Insurance Packaging Patient Care 52

PQA

OCTOBER 5, 2022

This blog recognizes five organizations that have joined PQA since May: Bergen Pharmacy MyMeds OmniSYS Prescryptive Health RxE2 See our full list of members. Bergen Pharmacy works with patients to understand their insurance benefits and to insure minimum cost to the patient. Learn more about the benefits of joining PQA.

Specialty Pharmacies 52

Specialty Pharmacies Insurance Communication Immunization 52

DiversifyRx

DECEMBER 12, 2024

Encourage Patients to Use Their Voice: Ask patients to share their insurance struggles with local lawmakers. Patients who understand your value are more likely to stay loyal and even pay cash if you dump their insurance plan. Spread Awareness: Use your blog, social media, or even local media outlets to shine a light on the PBM issue.

Independent Pharmacies 52

Independent Pharmacies Insurance Compounding 52

Roots Analysis

AUGUST 1, 2024

Key Restraints High Treatment Costs: The relatively high cost of GLP-1 receptor agonists (when compared to other treatments for treating diabetes and obesity) limits their accessibility; further, patients without comprehensive insurance coverage, may find these medications financially burdensome. per package in the US.

Insurance Coverage 52

Insurance Coverage Insurance Packaging Compounding 52

Omnicell

JANUARY 10, 2023

At the same time, many pharmacy benefit managers (PBMs) and insurers are requiring that specialty drugs be filled at specialty pharmacies within exclusive networks (often owned by the insurer/PBM). Disclaimer The views and opinions expressed in this blog are those of the authors. Register today. Subscribe today.

Specialty Pharmacies 52

Specialty Pharmacies Omnicell Hospitals Communication 52

DiversifyRx

MAY 7, 2024

What primary insurance does the patient have? Also, if the patient has no primary insurance, you won’t be able to use many coupons because they require secondary coverage only. If you want to ensure you are doing all PBM billing correctly, check out this PBM Audit Blog. This restriction is ubiquitous across all PBMs.

Independent Pharmacies 52

Independent Pharmacies Insurance FDA 52

The FDA Law Blog

SEPTEMBER 30, 2022

Kirschenbaum — In November 2020, we blogged about a decision by the Federal District Court of Maryland dismissing a Federal False Claims Act (FCA) qui tam suit alleging that Forest Laboratories knowingly reported inflated best prices under the Medicaid Drug Rebate Program (MDRP), resulting in underpayment of rebates. of America v.

Insurance 40

Insurance 40

The Honest Apothecary

APRIL 26, 2023

Here I share some of the latest news, articles, editorials, or blog posts that fall generally under the theme of Pharma or healthcare. “Reimbursements for medications are low, and insurance companies aren’t covering the cost of medications, Garrison said.” INDEED.COM. TWO OREGON PHARMACIES CLOSING This always saddens me.

Insurance 52

Insurance 52

Board Vitals - Pharmacist

OCTOBER 1, 2022

While board certification is optional, many employers and insurance companies require certification. appeared first on BoardVitals Blog. A graduate physician must spend a minimum of four years in a residency program after medical school. Pediatricians must be licensed to practice in all 50 states.

Medical Schools 52

Medical Schools Patient Care Insurance Hospitals 52

Board Vitals - Pharmacist

OCTOBER 1, 2022

While board certification is optional, many employers and insurance companies require certification. appeared first on BoardVitals Blog. A graduate physician must spend a minimum of four years in a residency program after medical school. Pediatricians must be licensed to practice in all 50 states.

Medical Schools 52

Medical Schools Patient Care Insurance Hospitals 52

Roots Analysis

JANUARY 31, 2023

Insurance: The blockchain technology is transforming insurance-related processes by speeding up the verification and validation of data. For more details you can visit [link] The post Applications of Blockchain in Various Sectors: An Introduction appeared first on Blog.

Documentation 52

Documentation Insurance 52

PQA

DECEMBER 5, 2023

Diverse Voices in Quality is a PQA blog series that showcases the successful career paths and experiences of medication use quality professionals from diverse groups at PQA member organizations. Self-nominations for the 2024 program will be accepted through Friday, December 8, via a form on the PQA website.

Insurance 59

Insurance 59

Omnicell

JANUARY 10, 2023

Even though local pharmacists already provide these services to commercially insured populations, Medicare Part B does not directly reimburse pharmacists. For essential services such as immunizations and diabetes care, people in underserved communities, which are often rural, must travel far from home.

Omnicell 52

Omnicell Community Pharmacies Immunization Insurance 52

The FDA Law Blog

DECEMBER 4, 2023

.; Any schedule II drug to a patient paying in cash, cash equivalents, or otherwise out-of-pocket, except where the pharmacy has documented that the customer is not covered by any insurance plan or other third-party payor for prescription services; IR opioids for more than 90 days unless the pharmacy first obtains a written treatment plan from the (..)

Controlled Substances 139

Controlled Substances Documentation Dosage Prescription Filling 139

Omnicell

JANUARY 10, 2023

The bill, which already has 74 co-sponsors, would also prohibit commercial insurers and PBMs from imposing contract terms that require covered entities to accept reimbursement rates that can be significantly below the rates offered to non-340B providers and pharmacies. 340B providers need to begin a full-court press today.

Independent Pharmacies 52

Independent Pharmacies Insurance 52

Pharma Marketing Network

FEBRUARY 19, 2025

The Health Insurance Portability and Accountability Act (HIPAA) restricts how patient data can be used in advertising. Use Contextual Targeting Instead of Behavioral Targeting Instead of relying on patient-specific data , use contextual targeting to place ads on relevant medical websites, healthcare blogs, and condition-related content.

HIPAA 52

HIPAA FDA Insurance 52

DiversifyRx

SEPTEMBER 19, 2024

Over the years, I’ve made numerous videos and blogs on using direct billing for workers’ comp to increase pharmacy profitability. The state or work comp insurer pays the exact same amount regardless of who sends the final paper bill to the adjuster. So where does that 87% go? If you send the bill, you get the full amount.

Independent Pharmacies 52

Independent Pharmacies Detail Orientation Insurance Documentation 52