Specialty Medication

Need Specialty Meds Approved by Insurance Company?

At Benzer Pharmacy we complete prior authorization and appeal forms on your behalf.
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specialty medication

Benzer Pharmacy will complete prior authorization and appeal forms on your behalf!

If you are managing serious health conditions you may require specialty medications. It is complex process to fill specialty medication and can take longer than traditional prescriptions. At Benzer we streamline the complex path that the specialty prescription travels before it reaches the patient.

Step 1: Prescription

First step for filling the specialty medication starts in the doctor’s office. Your doctors can send prescriptions directly to the Benzer Pharmacy to expedite the filling process.

Step 2: Confirmation

Once the prescription is received, we contact the doctor’s office to confirm the receipt and verify any special instructions.

Step 3Benefit Investigation

We gather all the information of the patient’s medical history and insurance coverage. Based on this information we may need to contact patient’s insurance company.

Step 4: Prior Authorization

Insurance company may require a PRIOR AUTHORIZATION before filling high cost speciality medication. This means that insurance company has to approve the prescription before it is filled. At Benzer Pharmacy we complete Prior Authorization forms on behalf of the doctor.

Step 5: Appeals

 If the Prior authorization is not approved, Benzer Pharmacy will take an extra step to appeal the decision made by insurance company on the patient’s behalf.

Step 6: Ready

After all this steps is completed the prescription is ready to be filled and we will deliver the medication to your door for free!

 

To Fill Your Prescription Through Benzer Pharmacy:
 

Have your doctor send your prescriptions to Benzer Pharmacy today. Your doctor can call  (800) 661-4125 or fax the prescription to  (888) 239-8423. A Benzer Specialty Pharmacy patient care coordinator will contact you to arrange delivery of your medication. To speak to a pharmacist about your specialty medication 24 hours a day 7 days a week, call us toll-free at (800) 661-4125


 

We offer Specialized Pharmacy Care for Patients Diagnosed with Chronic Illnesses Such As:

  • Human Immunodeficiency Virus (HIV)
  • Multiple Sclerosis (MS)
  • Rheumatoid Arthritis (RA)
  • Hepatitis C
  • Allergic Asthma
  • Anemia/Neutropenia
  • Crohn's Disease
  • Cystic Fibrosis (CF)
  • Enzyme Replacement Therapy
  • Fertility Services
  • Growth Deficiency
  • Hemophilia/Von Willebrand Disease
  • Hereditary Angioedema
  • Immune Disorders/IVIG
  • Lysosomal Storage Diseases
  • Oncology
  • Severe Psoriasis
  • Psoriatic Arthritis
  • Pulmonary Arterial Hypertension
  • Respiratory Syncytial Virus (RSV)
  • And Much More!

 

Benzer Specialty Pharmacy Patient Management Program proactively works with patients in a number of chronic disease states to provide specialty pharmaceuticals and therapy management support services to obtain optimal therapeutic outcomes thus avoiding adverse drug events and unnecessary costs. Pharmacists’ roles are shifting from dispensing medications to direct clinical practice and becoming valued providers of clinical pharmaceutical care and part of the healthcare team for the patients. 

When a patient receives their medication this does not guarantee improved health, as a medication’s success relies on the patient taking the medication according to the prescribed directions. Non adherence is a multifaceted issue that is linked to both behavioral and system barriers and as a result, many patients do not take their medications as prescribed. It is the goal of Benzer Pharmacy’s Patient Management Program to provide the appropriate education, support and communication to improve the patient’s self-management/adherence of their medication regime.  It is based on five (5) core elements:

 

  • Medication therapy review
  • Personal medication record
  • Medication-related action plan
  • Intervention and/or referral
  • Documentation and follow-up

 

As a Specialty Pharmacy, Benzer Pharmacy offers consistent patient management, specialized clinical staff that provide patient support and focus on patient adherence to therapy. The program promotes enhanced patient understanding, increased adherence to medication regimens and prevention and detection of adverse drug events and patterns of over-use and under-use of prescription drugs. Benzer Pharmacy has developed a proactive refill management and medication adherence monitoring. Reminder calls and mailings are sent to patients prior to refill date. The pharmacist and/or support staff will contact the patient in a timely fashion if inadequate adherence is identified. This is an opt-in program

 

 





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