Prescription Drug Coverage

As your partner pharmacy, we are committed to keep you informed of updates in the ever-changing world of Medicare. We will work with your facility in the coordination of your residents’ benefits and assist you in the implementation of cost-containment strategies. We believe that knowledge/understanding of Medicare Prescription Drug Coverage is essential in a facility’s success in maximizing residents’ benefits and minimizing facility costs.

Overview of Medicare part D:

• All people with Medicare are eligible to enroll in a Medicare Drug Plan.
• People must be enrolled in a plan to get Medicare Drug Coverage.
• Medicare drug plans are offered by insurance companies and other private companies approved by Medicare. They are also referred to as PDPs.
• Medicare Drug Plans are not all the same. Plans vary by cost, coverage and convenience.
• Plans can manage access to drug coverage through:

– Formularies

– Prior Authorization

– Step Therapy

– Quantity Limits

LTC SCRIPTS will assist your facility in managing and streamlining these processes to obtain prompt approval of drug coverage for your residents.