RE: No Joy --> Administration Fee for Zost avax kaput

[Guest guest]

thanks Pedro this seems the best

why didn't i think of it

eliminates the messy part of keeping it frozen til trasnfrred from pharamcy

to doc's ADn it is nice for the patients

what a radical idea

Re: No Joy --> Administration Fee for

Zostavax kaput

My policy is to let the patient know what is the cost from Merck

including the shipping, they pay us, we order and administer.

We give them the invoice/receipt, they send it to their plan.

No direct expense for me, minor time expense and so far, appreciative

patients.

We plan to submit a bill for the therapeutic administration of

medication, I am just providing a service to my patient and hopefully

prevent a painful and debilitating herpetic neuralgia (have done 3,

don't know if Medicare has paid anything yet!).

The best guidance is to put oneself in the patient's position, how would

I like to be treated as the patient/client?

--

Pedro Ballester, M.D.

Warren, OH

[Guest guest]

That is what I do try to do now. Some Medicare Part D plans will

only pay if they get a copay ($50) from the patient first along with a

prescription from me, then they ship it directly to the patient.

That is crazy though and I only do that if someone really wants to save

the $100 or so (which of course, most people do). Zostavax through

Medicare is a perfect example of our dysfunctional health system.

Sharon

At 08:15 AM 1/16/2008, you wrote:

thanks Pedro this seems the

best

why didn't i think of it

eliminates the messy part of keeping it frozen til trasnfrred from

pharamcy

to doc's ADn it is nice for the patients

what a radical idea

Re: No Joy --> Administration Fee

for

Zostavax kaput

My policy is to let the patient know what is the cost from Merck

including the shipping, they pay us, we order and administer.

We give them the invoice/receipt, they send it to their plan.

No direct expense for me, minor time expense and so far,

appreciative

patients.

We plan to submit a bill for the therapeutic administration of

medication, I am just providing a service to my patient and

hopefully

prevent a painful and debilitating herpetic neuralgia (have done 3,

don't know if Medicare has paid anything yet!).

The best guidance is to put oneself in the patient's position, how

would

I like to be treated as the patient/client?

--

Pedro Ballester, M.D.

Warren, OH

[Guest guest]

You may want to look into eDispense:https://enroll.edispense.com/ws_enroll/The Prescriber's Letter has a link to it, it may be useful for us and our patients.

-- Pedro Ballester, M.D.Warren, OH