Monthly Archives : September 2011


Pharmacy News: Medicare Compliance for Refills

Are you Billing Medicare Part B for Blood Glucose Testing Supplies and other items that are refilled on a recurring basis?

If you are, Medicare has some new rules and clarified some older ones. These apply to ALL suppliers, whether accredited or not.

Pharmacies are required to contact the beneficiary or designee regarding refills. This must take place no sooner than 14 calendar days prior to the refill due date and you  may not dispense the item to the beneficiary sooner than 10 calendar days prior to the end of usage for the current product.  This is regardless of delivery method.

rx-prescription-pad1Additionally, Medicare Compliance for refills requires a new prescription when:

  • There is a change of supplier.
  • There is a change in treating physician.
  • There is a change in the item(s), frequency of use, or amount prescribed.
  • There is a change in the length of need or a previously established length of need expires.

Medicare has also enacted new rules regarding “proof of refill request” for items that are going to be delivered to the beneficiary.  We will see if the large mail-order entities follow this one.  For these items, you need to document the request for refill either with a written document received from the beneficiary or a contemporaneous written record of a phone conversation/contact between the supplier and beneficiary.  The refill request must occur and be documented before shipment.

The refill record must include:

  • Beneficiary’s name or authorized representative if different than the beneficiary
  • A description of each item that is being requested
  • Date of refill request
  • Quantity of each item that the beneficiary still has remaining

For the “proof of refill request” for items that are going to be picked up at the Pharmacy, the pharmacy only needs to obtain a signature from the beneficiary or caregiver that they have actually received the supplies.

This information (in addition to other Medicare required documentation) must be kept on file and be available upon request.

BE SURE to train your staff to make these requirements a part of their daily tasks.


Pharmacy News: American Pharmacist Month

Pharmacy Owners — October is American Pharmacist Month.

phrmonth10Read on to learn how to take this opportunity to celebrate your profession, your staff and your dedication to your customers!

This year’s theme, as seen on is – KNOW YOUR PHARMACIST, KNOW YOUR MEDICINE.

advertise-hereReach out to your customers by hosting a “Brown Bag”review, where customers can bring in both their prescription and nonprescription drugs into the store for a personal consultation with your pharmacists—all in an effort to ensure customers are taking medications safely and properly (in conjunction with other medicines).   This promotion illustrates to your customers that their health is important to you and your pharmacy. And it’s an excellent time to emphasize good health and wellness.

Advertise the event by:

  • Advertising in your local paper
  • Contact your local paper to see if they will run a FREE special article on the event
  • Create a flyer to use as bag stuffers, distribute at local community centers, and doctor’s offices
  • Ask your local radio station to read a Public Service announcement announcing the event
  • Announce Event on your Social Networks: Facebook, Twitter, LinkedIn

During the event:

  • Decorate your pharmacy highlighting Pharmacist Month
  • Have goody bags for customers to take with them that include an informational brochure about what your pharmacy has to offer, as well as other educational materials.
  • Stress the role that you, as the pharmacist can play to ensure that they are using their medicines as safely and effectively as possible

Other ideas to help celebrate YOUR month:

  • Hold a flu shot clinic
  • Blood pressure clinic
  • Osteoporosis screenings

This is your time to shine, use one of the ideas above, or come up with something on your own and HAVE FUN!