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We have only done this with Prolia injections when Medicare will not cover clinic supplied medication and we have to obtain it through their Part D plan. The prescription has to be ordered through our affiliated Mail service pharmacy and shipped directly to the clinic where the injection will be given. We then store the medication, with their information attached until the patient is seen.

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Melissa Ropella
Clinic Triage Nurse
Fairview Medical Group
Burnsville MN
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Our clinic sends it to our outpatient pharmacy and is dispensed directly to the patient. The clinic policy is not to take samples directly from sales rep.

Regards, Terri


Original Message:
Sent: 3/25/2023 7:15:00 PM
From: Melissa Ropella
Subject: RE: Specialty medications sent to clinic policy

We have only done this with Prolia injections when Medicare will not cover clinic supplied medication and we have to obtain it through their Part D plan. The prescription has to be ordered through our affiliated Mail service pharmacy and shipped directly to the clinic where the injection will be given. We then store the medication, with their information attached until the patient is seen.

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Melissa Ropella
Clinic Triage Nurse
Fairview Medical Group
Burnsville MN
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Our clinic does have Prolia shipped to our office from the patient's insurance's specialty pharmacy.  We then store it per manufacture guidelines until given to the patient.  We have a log where we sign the patient specific medication in then out when given to that patient.  Below is part of our policy:

• Patient-specific medications supplied through specialty pharmacy and sent/mailed directly to primary or specialty clinic may be administered by licensed staff only upon the order of an in-clinic authorized Provider. Medications that are brought into clinic by the patient will not be administered by clinical staff.
• Medication Criteria:
  • Must be from a licensed/credentialed pharmacy
  • Must be a current medication in EMR
  • Must be in original container with legible labeling and must be unopened or sealed
  • Must be retained in the clinic if subsequent doses are to be administered.
  • Keep medication in Ziploc bag labeled with the patient's name, MRN, and date and stored in recommended environment (e.g., room temperature, refrigerator, or dark cool box)
  • Will be logged onto the form
• Prior to patient administration, the medication will be logged out on the above form.
• Medications purchased with manufacturer voucher for patient home use may not be sent to clinic for patient to pick up.
• Clinic-supplied medications will only be administered by licensed clinic staff.
  • Providers/Nurses teaching patients to self-administer will utilize training tools for this purpose.
  • Patients may self-administer prescribed medication brought from home for training purposes (i.e., inhaler). Providers and Nurses may not administer these home medications to patients.

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Amanda Pearce, RN-BSN
Clinic RN
Swedish Medical Group
Renton WA
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