Medicare Part D Electronic Prescribing

Posted on April 17, 2008 by Dr. David Edward Marcinko MBA MEd CMP™

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New Four Part Standards

[By Staff Writers]

The Centers for Medicare & Medicaid Services [CMS] finally published regulations which establish Part D electronic prescribing standards for four types of information: 

  • formulary and benefits,
  • medication history,
  • fill status notification, and
  • identification of individual health care providers.

All Need Not Comply

Drug prescribers, dispensers and plan sponsors are not required to implement e­-prescribing under Part D.

But, those who do must comply with the new Medicare standards when using e-prescribing to send prescriptions and prescription related information for covered drugs prescribed for Part D eligible individuals.

Assessment

These new standards supplement the 2006 “foundation” standards that first addressed the exchange of Part D information related to eligibility inquiries and responses; new prescriptions; and changes, renewals, and cancellations of existing prescriptions; according to the Health Industry Watch, in Washington, DC.

Conclusion

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5 Responses

  1. Medical Executive-Post, on June 3, 2008 at 4:39 PM said:

    EMRs at Kaiser

    Did you know that the medical charts of nearly 9 million Kaiser Permanente patients, in nine states, are now electronically archived?

    The plan’s HealthConnect electronic medical record system (EMRS) just completed a four-year launch. Installation cost $4 billion, including $1 billion for maintenance.

    Staff Reporters
    Medical Executive-Post

    Like

  2. Hope R. Hetico RN MHA, on April 21, 2014 at 6:07 PM said:

    Distribution of Payer Rejection of Retail Prescriptions by Reasons

    -Quantity Limits – 5.3 %
    -Prior Authorization Required – 11.7 %
    -Not Covered – 12.0 %
    -Step Edits – 20.4 %
    -Re fill Too Soon – 30.8 %
    -All Other – 19.9 %

    Source: IMS Institute for Healthcare Informatics

    Like

  3. Ann Miller RN MHA, on August 26, 2014 at 11:05 AM said:

    Medicare Modernization Act Six Classes of Drugs Required to be Included in Medicare Part D

    1. Immunosuppressants
    2. Anticonvulsants
    3. Antineoplastics
    4. Antidepressants
    5. Antipsychotics
    6. Antiretrovirals

    Source: Mondaq

    Like

  4. Scott, on August 27, 2014 at 5:38 PM said:

    Medicare Part D adherence gains eroding

    Ann – After improvements in affordability, more beneficiaries are having trouble paying for their medications.

    http://medicaleconomics.modernmedicine.com/medical-economics/news/medicare-part-d-adherence-gains-eroding-study

    Scott

    Like

  5. Hope Hetico RN MHA, on December 22, 2016 at 7:58 PM said:

    Biggest Price Increases: Medicare Part D (drugs patients administer themselves)

    1. Cozaar, high blood pressure, 491 percent increase, to $3.22 per unit, total spending of $6.7 million
    2. Epitol, used to prevent seizures, 451 percent increase, $0.52 cents per unit, total spending of $6.6 million
    3. Zestril, high blood pressure, 405 percent increase, $7.44 cost per unit, total spending of $4.9 million

    Source: CMS via STAT

    Like

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