1323-A Mulberry Street
Montgomery, Alabama 36106
1323-A Mulberry Street
Montgomery, Alabama 36106
825 West Meighan Boulevard
Gadsden, Alabama 35901
(Open 6 days in Gadsden Only - Closed Sundays)
Mondays - Fridays: 9am - 7pm
Saturdays: 9a - 1pm
*Senior RX 1-800-243-5463 for individuals aged 55 or older
*Partnership for Prescription Assistance 1-888-477-2669
Medicaid will do this for you.
You can call Social Security at 1-800-772-1213 (TTY Users call 1-800-325-0778) and apply over the phone for LIS extra help with your prescription drug cost. You may call Medicare at 1-800-633-4227 for information about your benefits and your prescription drug plan.
Yes, if Congress re-authorizes this program and adequately funds it. However, Alabama has used all program funds allocated for this year.
These individuals will receive Part D benefits but will begin paying the monthly premium, deductible and co-payments required by that plan. Individuals losing their LIS may have an opportunity to switch plans or dis-enroll from Part D.
Because you have had coverage through the Medicare Savings Program, you have been deemed eligible for LIS extra help through the end of this year. When you get your letter from Social Security in September, it will contain a Low Income Subsidy application. If you haven’t completed an application before then, you should complete that application if you wish to apply for LIS benefits for next year.
The Low Income Subsidy (LIS) is a separate benefit of the Medicare Part D prescription drug program that permits Part D beneficiaries who meet certain income guidelines to obtain coverage for most out of pocket costs of Part D i.e. premiums, deductibles, and coinsurance. There are different levels of assistance under LIS, but those who qualify for the highest levels of assistance pay no premium, no deductible and low co-payments.
QI-1 is a Medicare Savings Program that deems beneficiaries eligible for Low Income Subsidy. You will continue to be enrolled in your Part D plan (unless that changes for a different reason) and your Part D Low Income Subsidy will continue through the end of the calendar year because of “deeming”. If you do not qualify for any Medicaid program from July through the end of the year, you will need to apply for the LIS with SSA to determine: 1) if it will continue to pay your Part D premium next year or 2) if you will have to pay the premium in order to continue their Part D coverage. If you do not apply for LIS or if you apply but are not eligible for the LIS program, and you want to continue with your Part D coverage next year, you will be responsible for your monthly Medicare Part D premiums and deductibles, and your co-pays may increase.
When your Medicaid QI-1 benefits end, you no longer automatically qualify for the Low Income Subsidy (LIS) Program called “extra help with drugs” for 2009. This extra help pays for some or all of your premiums, co-pays, and deductibles for Medicare drug coverage. To apply for the “extra help with drugs” in 2009, go to www.socialsecurity.gov/prescriptionhelp to apply online. You may also contact your local Social Security Office or call 1-800-772-1213. Certain income and resource limits apply. If you have not applied by September 2008, you will get a letter informing you that you no longer qualify for LIS extra help because you are no longer eligible for Medicaid. The extra help will end on December 31, 2008, if you do not re-apply with SSA. An LIS application and a postage paid envelope will be included in the letter.
Once the State stops paying your Part B premiums, the premiums will automatically be deducted from your check the following month or soon thereafter. If you do not want the premium to be automatically deducted from your check you must contact the Social Security Administration right away.
Social Security may deduct two premium payments at once. This usually happens 30 to 60 days after the State has stopped paying the premium. If the amount is large, say if the effective date goes back 2 months, you can contact SSA and ask to have that amount waived due to “Undue Hardship” if you can prove how much of a hardship it would be for you.
SSA will send you a letter letting you know when and how much. Social Security will be notified that Medicaid will no longer pay the Part B premium effective for July 2008. Social Security may begin deducting the Part B premium from your Social Security check as early as August or September. The letter will have the CMS logo on it with all the details also stating that the State stopped paying your Part B premiums. The following is an excerpt from a typical letter: Your State Public Assistance Agency has stopped paying your Medical Insurance premiums (Medicare Part B). The first month for which you must pay the premium is shown below: Month xx Year xx. If you receive a monthly Social Security check, the premium will be deducted from your monthly check. If you do not receive a monthly Social Security check, you will be billed directly for the premium
Medicare Part B helps cover medical services like doctors’ services, outpatient care, some drugs and devices, and other medical services. Part B is optional. However, if you have Part B you must pay a monthly premium or someone pays it for you. Medicaid has been paying your Part B premium through the QI-1 program up until now.
Congress has not reauthorized the QI-1 program and the State has spent the allotment of funds to pay premiums for the QI-1 population.
QI-1 is a Medicare Savings Program. Having QI-1 did two things for you. First, Medicaid paid your Medicare Part B premiums. Second, because you have been in a Medicare Savings Program, you have been deemed eligible for Low Income Subsidy, a benefit of the Medicare Part D prescription drug program. Effective June 30, 2008, Medicaid will no longer pay your Medicare Part B premiums. The $96.40 monthly premium will be taken out of your Social Security check. You will remain deemed eligible through the end of the year for Low Income Subsidy, but if you want to continue to receive “extra help” with drug coverage next year, you will need to reapply before the end of the year for next year.
Pharmacy compounding is the art and science of preparing customized medications for patients. Its practice dates back to the origins of pharmacy; yet, compounding’s presence throughout the pharmacy profession has changed over the years. In the 1930s and 1940s, approximately 60 percent of all medications were compounded. With the advent of drug manufacturing in the 1950s and 60s, compounding rapidly declined. The pharmacist’s role as a preparer of medications quickly changed to that of a dispenser of manufactured dosage forms. Within the last two decades, though, compounding has experienced a resurgence, as modern technology and innovative techniques and research have allowed more pharmacists to customize medications to meet specific patient needs. Today, an estimated one percent of all prescriptions are compounded daily by pharmacists working closely with physicians and their patients.
There are several reasons why pharmacists compound prescription medications. The most important one is what the medical community calls “patient non-compliance.” Many patients are allergic to preservatives or dyes, or are sensitive to standard drug strengths. With a physician’s consent, a compounding pharmacist can change the strength of a medication, alter its form to make it easier for the patient to ingest, or add flavor to it to make it more palatable. The pharmacist also can prepare the medication using several unique delivery systems, such as a sublingual troche or lozenge, a lollipop, or a transdermal gel. Or, for those patients who are having a difficult time swallowing a capsule, a compounding pharmacist can make a suspension instead.
Yes. Children and the elderly are often the types of patients who benefit most from compounding. Often, parents have a tough time getting their children to take medicine because of the taste. A compounding pharmacist can work directly with the physician and the patient to select a flavoring agent, such as vanilla butternut or tutti frutti, that provides both an appropriate match for the medication’s properties and the patient’s taste preferences. Compounding pharmacists also have helped patients who are experiencing chronic pain. For example, some arthritic patients cannot take certain medications due to gastrointestinal side effects. Working with their physician, a compounding pharmacist can provide them with a topical preparation with the anti-inflammatory or analgestic their doctor has prescribed for them. Compounded prescriptions often are used for pain management in hospice care.
Almost any kind. Compounded prescriptions are ideal for any patient requiring unique dosages and/ or delivery devices, which can take the form of solutions, suppositories, sprays, oral rinses, lollipops and even as transdermal sticks. Compounding application can include: Bio-identical Hormone Replacement Therapy, Veterinary, Hospice, Pediatric, Ophthalmic, Dental, Otic, Dermatology, Medication Flavoring, Chronic Pain Management, Neuropathies, Sports Medicine, Infertility, Wound Therapy, Podiatry, and Gastroenterology.
Because compounded medications are exempt by law from having the National Drug Code ID numbers that manufactured products carry, some insurance companies will not directly reimburse the compounding pharmacy. However, almost every insurance plan allows for the patient to be reimbursed by sending in claims forms. While you may be paying a pharmacy directly for a compounded prescription, most insurance plans should cover the final cost.
Compounding may or may not cost more than a conventional medication. Its cost depends on the type of dosage form and equipment required, plus the time spent researching and preparing the medication. Fortunately, compounding pharmacists have access to pure grade quality chemicals which dramatically lower overall costs and allow them to be very competitive with commercially manufactured products.
Compounding has been part of healthcare since the origins of pharmacy, and is used widely today in all areas of the industry, from hospitals to nuclear medicine. Over the last decade, compounding’s resurgence has largely benefited from advances in technology, quality control and research methodology. The Food and Drug Administration has stated that compounding prescriptions are both ethical and legal as long as they are prescribed by a licensed practitioner for a specific patient and compounded by a licensed pharmacy. In addition, compounding is regulated by state boards of pharmacy.
Prescription compounding is a rapidly growing component of many physicians’ practices. But in today’s world of aggressive marketing by drug manufacturers, some may not realize the extent of compounding’s resurgence in recent years. Ask your physician about compounding; then get in touch with a compounding pharmacy –one that is committed to providing high-quality compounded medications in the dosage form and strength prescribed by the physician. Through the triad relationship of patient, physician and pharmacist, all three can work together to solve unique medical problems.