RE: Immunosuppressive meds

[Guest guest]

Nadine, Did you get any feedback on you VA question?

MSC

UNMC

Hi everyone:

I would like to know how you are handling patients who get their

meds thru the VA. Is the patient obligated to use Mcre for IMS meds and pay

the 20% copay even though the VA will fill them for a $0 copay? Will the VA

coordinate with Mcre? Thanks for your help.

Nadine Gruidl

UMC, Las Vegas

[Guest guest]

No I didn't - do you have any suggestions? Thanks.

Nadine

UMC, Las Vegas

>>> mchaney@... 03/21/01 01:46PM >>>

Nadine, Did you get any feedback on you VA question?

MSC

UNMC

Hi everyone:

I would like to know how you are handling patients who get their

meds thru the VA. Is the patient obligated to use Mcre for IMS meds and pay

the 20% copay even though the VA will fill them for a $0 copay? Will the VA

coordinate with Mcre? Thanks for your help.

Nadine Gruidl

UMC, Las Vegas

[Guest guest]

Yes lemme call you. What's your #?

RE: Immunosuppressive meds

No I didn't - do you have any suggestions? Thanks.

Nadine

UMC, Las Vegas

>>> mchaney@... 03/21/01 01:46PM >>>

Nadine, Did you get any feedback on you VA question?

MSC

UNMC

Hi everyone:

I would like to know how you are handling patients who get

their

meds thru the VA. Is the patient obligated to use Mcre for IMS meds

and pay

the 20% copay even though the VA will fill them for a $0 copay?

Will the VA

coordinate with Mcre? Thanks for your help.

Nadine Gruidl

UMC, Las Vegas

[Guest guest]

Hi Nadine

I don't think patients have to go thru Medicare for Immuno's since Va Benefits

are lifetime. I know some of our patients get there meds from the Va. even if

they have Medicare.

>>> TPNADINE@... 03/21/01 04:47PM >>>

No I didn't - do you have any suggestions? Thanks.

Nadine

UMC, Las Vegas

>>> mchaney@... 03/21/01 01:46PM >>>

Nadine, Did you get any feedback on you VA question?

MSC

UNMC

Hi everyone:

I would like to know how you are handling patients who get their

meds thru the VA. Is the patient obligated to use Mcre for IMS meds and pay

the 20% copay even though the VA will fill them for a $0 copay? Will the VA

coordinate with Mcre? Thanks for your help.

Nadine Gruidl

UMC, Las Vegas

[Guest guest]

only thing I can add is that I believe that for VA to fill scripts they have to

be written by VA docs .... so I think when pts are transplanted at our facility

and use VA for their meds the post txp nurses have to coordinate that

somehow.... rusty

>>> jbucche@... 03/22 9:13 AM >>>

Hi Nadine

I don't think patients have to go thru Medicare for Immuno's since Va Benefits

are lifetime. I know some of our patients get there meds from the Va. even if

they have Medicare.

>>> TPNADINE@... 03/21/01 04:47PM >>>

No I didn't - do you have any suggestions? Thanks.

Nadine

UMC, Las Vegas

>>> mchaney@... 03/21/01 01:46PM >>>

Nadine, Did you get any feedback on you VA question?

MSC

UNMC

Hi everyone:

I would like to know how you are handling patients who get their

meds thru the VA. Is the patient obligated to use Mcre for IMS meds and pay

the 20% copay even though the VA will fill them for a $0 copay? Will the VA

coordinate with Mcre? Thanks for your help.

Nadine Gruidl

UMC, Las Vegas

[Guest guest]

That's true,Rusty. When we have a transplant patient who is getting

medications from the VA, our transplant nurses give the patient (going to the

VA) a " script " for the meds. The patient, in turn, takes it to the VA

physician who then re-writes the script so the patient can get the meds. It

sounds like a cumbersome system, but it does work and the patient is able to get

the necessary medications.

Arlene Gatto, Albert Einstein Medical Center, Phila. PA

>>> haroldw@... 03/22/01 10:13AM >>>

only thing I can add is that I believe that for VA to fill scripts they have to

be written by VA docs .... so I think when pts are transplanted at our facility

and use VA for their meds the post txp nurses have to coordinate that

somehow.... rusty

>>> jbucche@... 03/22 9:13 AM >>>

Hi Nadine

I don't think patients have to go thru Medicare for Immuno's since Va Benefits

are lifetime. I know some of our patients get there meds from the Va. even if

they have Medicare.

>>> TPNADINE@... 03/21/01 04:47PM >>>

No I didn't - do you have any suggestions? Thanks.

Nadine

UMC, Las Vegas

>>> mchaney@... 03/21/01 01:46PM >>>

Nadine, Did you get any feedback on you VA question?

MSC

UNMC

Hi everyone:

I would like to know how you are handling patients who get their

meds thru the VA. Is the patient obligated to use Mcre for IMS meds and pay

the 20% copay even though the VA will fill them for a $0 copay? Will the VA

coordinate with Mcre? Thanks for your help.

Nadine Gruidl

UMC, Las Vegas

[Guest guest]

Our experience here at WPAHS in PA, is it must be written by a VA Doctor on a VA

Script pad to be dispensed at the VA. We have not had them coordinate coverage

with Medicare since both are Federal Programs.

Some of the VA Facilities in this area are more flexible than others. And the

patients must sometimes be seen out of state to continue VA coverage form

eds.

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[Guest guest]

Thanks to everyone who replied regarding this issue. You guys pretty much

confirmed what I was thinking but it's SO nice to know we're all on the same

page. Have a great weekend.

Nadine Gruidl

UMC, Las Vegas

>>> jbucche@... 03/22/01 06:13AM >>>

Hi Nadine

I don't think patients have to go thru Medicare for Immuno's since Va Benefits

are lifetime. I know some of our patients get there meds from the Va. even if

they have Medicare.

>>> TPNADINE@... 03/21/01 04:47PM >>>

No I didn't - do you have any suggestions? Thanks.

Nadine

UMC, Las Vegas

>>> mchaney@... 03/21/01 01:46PM >>>

Nadine, Did you get any feedback on you VA question?

MSC

UNMC

Hi everyone:

I would like to know how you are handling patients who get their

meds thru the VA. Is the patient obligated to use Mcre for IMS meds and pay

the 20% copay even though the VA will fill them for a $0 copay? Will the VA

coordinate with Mcre? Thanks for your help.

Nadine Gruidl

UMC, Las Vegas