28 HEALTH AND WELLNESS If you have questions about the Specialty Pharmacy, please call 877-757-0104. Expert staff is available Monday - Friday from 8:30 am - 5 pm. Scripps Ambulatory (Retail) Pharmacy: Employees and dependents covered under a Scripps Medical Plan may fill their new or refill prescriptions at the following retail pharmacy locations: • Scripps Encinitas Ambulatory Pharmacy Located in the 310 Medical office building, Suite 109 at Encinitas Memorial Hospital • Scripps Green Ambulatory Pharmacy Located inside the main entrance on the 2nd floor of the Geisel Pavilion at 10710 N. Torrey Pines Road • Scripps Mercy Ambulatory Pharmacy Located directly across from the main hospital entrance at 4060 Fourth Ave Suite 110 You can receive up to a 90-day supply of prescription drugs that you take on an ongoing or "maintenance" basis (drugs that your physician prescribes for use on a regular basis for chronic conditions), mailed to your home through Scripps Ambulatory Pharmacy convenient mail order service. Prescriptions can also be delivered to your home, which is a faster alternative to mail order. For pick-up, delivery or mail order prescriptions, call Scripps Ambulatory Pharmacy at 858-964-1013. Other Pharmacy Management Programs In addition to our pharmacy copay, there are other pharmacy management programs to help improve the safety and cost-effectiveness of your prescription drug coverage. For more information on either of the programs described below, contact MedImpact at 844-282-5343 (HMO option) or 800-788-2949 (EPO option). Step Therapy Program Step Therapy is designed to find the safest and most cost-effective drug therapy for certain conditions that require medication regularly. Step Therapy requires the use of first line drugs before alternative second line drugs are prescribed for the same condition. If immediate access to a second line drug is required for a medical reason, your doctor can submit a prior authorization request. Participants may benefit from this program by finding an effective first line medication. Options When Filling Your Prescription Retail Pharmacy: For short-term medications (up to a 30-day supply), take your medical ID card to a participating retail pharmacy. Choice90 Retail Pharmacy: For certain long-term maintenance medications (up to a 90-day supply), take your medical ID card to a participating Choice90 retail pharmacy. Go to MyScrippsHealthPlan.com to find a Choice90 retail pharmacy. Mail Service Pharmacy: For long-term maintenance medications (up to a 90-day supply) delivered to your home, go to MyScrippsHealthPlan.com and register for mail delivery service associated with your medical plan. Scripps Specialty Pharmacy: A specialty pharmacy provides medications for treating rare or complex medical conditions and specializes in patient education and monitoring. When you enroll in our program at Scripps, a specialty pharmacist will reach out to you for a comprehensive consultation. Our specialty pharmacists will ensure the medication you have been prescribed is safe and effective for your specific medical condition. You will be provided with resources and our specialty pharmacists will assist you in answering any questions you may have regarding instructions on your prescription and how to manage potential side effects of the medication. Your medications will be delivered directly to your home, and a specialty pharmacist will check in with you regularly for ongoing monitoring and support. All consultations are documented in your medical record at Scripps, so your doctor can follow your progress and see how well the medication is working. Many specialty medications are high in cost and require special authorization from health insurance companies. These medications also often require special delivery and handling. For this reason, specialty medications are not always available at most retail pharmacies. Scripps pharmacists have expertise in the following conditions and diseases: • Oncology • Multiple sclerosis • Rheumatology • Viral hepatitis • Dermatology • Gastroenterology
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