and a deep dive into LTC audits, submitting RSV vaccine claims, industry news, and reasons to come see us at NCPA!
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October 4, 2023

Next Wave Pharmacy Newsletter

COMPANY ANNOUNCEMENTS

NCPA 2023 Annual Convention - Come See All of our Booths!

Come See RedSail at NCPA!

Visit our booths and see how Axys® is transforming the LTC space, how PioneerRx is continuing to innovate in the independent pharmacy world, how RedSail makes medical billing easy and profitable - plus meet our NextWave Podcast Network hosts! Explore new possibilities by connecting with fellow industry leaders and help shape the future of community pharmacy. Have you registered for NCPA?

Register Here
RSV Vaccine = Part D

Submit RSV Vaccinations to Medicare Part D

Is your pharmacy immunizing for RSV? Remember, for Medicare patients, these vaccines are covered under Medicare Part D, not Medicare Part B. Part B will deny the claim if submitted. Instead, submit RSV vaccine claims to the patient’s Part D PBM. (If the claim is rejected as non-covered or non-formulary, contact the PBM. Some are still updating their formularies.) For patients who are not on Medicare, check coverage with their specific plan to inquire if it should be billed under the pharmacy or medical side.

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PRODUCT NEWS & FEATURES

PioneerRx Community Pharmacy Management Software

+ UPS Full Integration Update

The PioneerRx UPS full integration is now available. The updated integration will allow PioneerRx to update tracking information every morning for all packages that have been delivered and auto-complete the transaction with the updated delivery information.

 

+ Add NADAC Column to Price Check Function

The NADAC Price column is now visible in the Rx Item Price Check Substitutions and Combine Price Quote display grid.


The Rx Item Price Check tool can be helpful when quoting a patient or reviewing store pricing calculations. This addition will allow the pharmacy to quickly reference pricing elements such as Cost, AWP, and NADAC when reviewing their pricing.

 

+ Add Is Hazardous Drug Y/N to Rx Queue Waiting for Fill

The Is Hazardous Drug column is now available on the Rx Queue grid. This column will not be on any views by default and must be manually added via the Column Chooser if needed.


Some Rx Items can be hazardous and may require special handling. Now users will be able to see which items in the queue are hazardous so they can be sure they are prepared to handle the item before advancing workflow.

 

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Axys - LTC Pharmacy Management Software

+ Added Calendar and Anniversary Toggle Options to Cycle Fill and Cycle Fill Billing

We have added a Calendar and Anniversary toggle option to the top of the Cycle Fill page for Cycle Fill and the Billing page for Cycle Fill Billing.


The toggle allows pharmacies to quickly sort between a Calendar or Anniversary search, easily adjust the contents of the application specific to the Cycle Fill type, and sort grid content more accurately, specifically for the Cycle Fill type.

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NEW PODCASTS & BLOGS

Catalyst Podcast Episode 103

Catalyst Podcast

 

EP103  - Find Your Pharmacy's Eureka Moment With Ashley Moose

Watch Now
Amplify LTC Pharmacy Podcast Episode 2

Amplify LTC Podcast

 

EP2  - A Deep Dive into LTC Audits With Trent Thiede

Watch Now
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INDUSTRY NEWS

CVS Class-Action Lawsuit

Class-Action Suit Filed Against CVS, Caremark, Aetna to Recover DIR Fees

 

Independent pharmacist Matt Osterhaus (Osterhaus Pharmacy, Maquoketa, IA) has filed a class action lawsuit against vertically consolidated CVS Health, Caremark, and Aetna that aims to recoup for all independent pharmacies millions of dollars in what his lawyers say are wrongfully assessed pharmacy DIR fees for Medicare Part D prescriptions.

Read More
Mifepristone Bill Proposal

New Bill Could Limit Pharmacists Dispensing Mifepristone

 

A group of conservative Republicans in the House of Representatives’ proposed Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2024 (H.R. 4368) would rescind the Food and Drug Administration (FDA)’s January 2023 change to the Risk Evaluation and Mitigation Strategy (REMS) program to allow certified retail pharmacies to dispense mifepristone as part of a medication abortion regimen.

Read More
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PHARMACY SPOTLIGHT

Pharmacy Spotlight - Mayank Amin

Skippack Pharmacy

 

Meet Mayank Amin, Owner and Chief Patient Advocate of Skippack Pharmacy. Whether you know him as Dr. Mak or the Superman Pharmacist, his excellence in the patient care realm cannot be denied. He and Skippack Pharmacy are bonafide pillars of the Skippack, Pennsylvania, community through excellent customer service and offering a wide array of patient services.

Visit Pharmacy Website
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RedSail Technologies, LLC, 201 W. Saint John St., Spartanburg, SC 29306, United States, 833.733.7245