Pharmasi
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Enfòmasyon Enpòtan
Objektif nou se fè yon diferans atravè sèvis pèsonèl. Kòm yon manm Solis Health Plans, ou jwenn kouvèti pou medikaman preskripsyon (Pati D) e ou dwe pran medikaman preskripsyon ou atravè rezo famasi nou an.
Formulè
Formulè medikaman preskripsyon nou an oswa “Lis Medikaman” se yon lis medikaman preskripsyon kouvri pa plan an. Medikaman sou lis sa a yo chwazi pa plan an avèk èd pwofesyonèl swen sante. Lis la enkli medikaman mak ak jenerik ki reprezante terapi preskripsyon ki kwè yo se yon konpozan esansyèl nan swen ki baze sou valè.
Direktory
Kòm yon founisè Solis, ou ka ale nan nenpòt nan famasi nan rezo nou an.
Ou ka telechaje Anyè nou an anba a:
Solis Health Plans kouvri ekipman dyabetik ki ka satisfè bezwen ou e fè jere kondisyon ou pi fasil. Men lis nou an pou ekipman preferab yo:
Reyèl Tan Benefis Gid
Reyèl-Tan Benefis Tcheke (RTBC) ede ou ak doktè ou chèche famasi ak medikaman ki pi ba pri ki disponib e jwenn famasi patisipan ou yo.
Zouti Reyèl-Tan Benefis
Kritè Otorizasyon Anvan
Pwogram sa a mande aprobasyon anvan ou resevwa medikaman ou pou asire ou ap jwenn yon medikaman preskripsyon ki apwopriye pou itilizasyon ki vize e kouvri pa benefis preskripsyon an.
Terapi Etap
Pwogram sa a ankouraje ou eseye premye sèten medikaman pou trete kondisyon medikal ou anvan nou kouvri yon lòt medikaman pou kondisyon sa a.
Politi Transition Medikaman Preskripsyon
Nou ka mande ou eseye sèten medikaman pou trete kondisyon medikal ou anvan nou kouvri yon lòt medikaman pou kondisyon sa a. Sa a rele "Terapi Etap."
Medikaman Preskripsyon – Livrezon Lakay
Ou ka jwenn medikaman preskripsyon yo anbake dirèkteman nan pòt ou atravè famasi lòd lapòs chwazi yo. Telechaje fòm ki atache a pou mete kanpe livrezon lakay sou medikaman preskripsyon ou yo.
FÒM DEMANN DETÈMINASYON KOVÈTI EKSEPSYON
Pou mande yon detèminasyon kouvèti medikaman, ou, reprezantan ou te nonmen, oswa doktè preskri ou/oswa lòt preskri a ka kontakte Solis nan fason sa yo:
Mande doktè preskri ou oswa lòt preskri a pou soumèt demann lan pou ou. Doktè preskri ou oswa lòt preskri a ka rele ekip Revizyon Detèminasyon Kouvèti Famasi nou an nan 1-833-615-9259 e mande yon demann detèminasyon kouvèti pa telefòn. Nou disponib pou pran apèl doktè preskri ou a Lendi rive Vandredi, soti 8 a.m. rive 5 p.m.
Altènativman, doktè preskri ou oswa lòt preskri a ka soumèt yon fòm demann detèminasyon kouvèti pou ou. Doktè preskri ou a ka rele ekip Revizyon Detèminasyon Kouvèti Famasi a nan nimewo ki bay la epi mande yon fòm demann detèminasyon kouvèti espesyalman fèt pou medikaman ki mande a e soumèt fòm konplete a pa fax nan 1-844-268-9789. Fòm sa a ap gen kesyon espesifik pou asire tout enfòmasyon ki nesesè yo jwenn pou revizyon an. Doktè ou ka tou soumèt demann lan pou ou sou entènèt pa ranpli Fòm Demann Detèminasyon Kouvèti a, ki se yon fòm jeneral. Fòm sa a ka mande ekip Revizyon Detèminasyon Kouvèti Famasi a kontakte doktè preskri ou pou jwenn enfòmasyon adisyonèl espesifik sou medikaman ki mande a.
Ou ka jwenn tou Fòm Demann Detèminasyon Medikaman an sou paj wèb CMS pati D
Demann pou Redetèminasyon (Apèl) Refizyon Medikaman Medicare
Nouvo Plan Peman Medikaman Preskripsyon Medicare
Nouvo Plan Peman Medikaman Preskripsyon Medicare a ede fè peman pou medikaman preskripsyon pi fasil. Kòmanse nan 2025, li pèmèt ou gaye pri medikaman ou yo sou 12 mwa, konsa ou pap bezwen peye tout bagay an menm tan. Plan an mete yon limit $2,000 sou kantite lajan ou peye sòti nan pòch ou chak ane pou preskripsyon. Sa vle di ou ka pi byen planifye pou pri medikaman ou yo e evite gwo, bòdwo inatandi. Li se yon fason itil pou jere depans preskripsyon ou yo e asire ou ka peye medikaman ou bezwen yo.
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Medication Therapy Management Program
In 2025, Solis continues its partnership with Aprexis Health Solutions to deliver Medication Therapy Management (MTM) to our qualified members. If you’re in a Medicare drug plan and you have complex health needs, you may be eligible to participate in the Solis MTM Program at no additional cost to you. The MTM program is required by the Centers for Medicare and Medicaid Services (CMS) and is not considered a benefit. This program helps you and your doctor make sure that your medications are working. It also helps us identify and reduce possible medication problems.
To take part in this program, you must meet certain criteria set forth in part by CMS. These criteria are used to identify people who have multiple chronic diseases and are at risk for medication-related problems. If you meet these criteria, you will receive a letter in the mail from Aprexis and Solis with details on the program and information on how to get started. Your enrollment in MTM is voluntary and does not affect Medicare coverage for drugs covered under Medicare.
To qualify for Solis’ MTM program, you must meet ALL of the following criteria:
Have at least 3 of the following conditions or diseases:
Alzheimer's Disease
Bone disease-arthritis (including osteoporosis, osteoarthritis, and rheumatoid arthritis)
Chronic congestive heart failure (CHF)
Diabetes
Dyslipidemia
End-stage renal disease (ESRD)
Human immunodeficiency virus/Acquired immunodeficiency syndrome (HIV/AIDS)
Hypertension
Mental health (including depression, schizophrenia, bipolar disorder, and other chronic/disabling mental health conditions)
Respiratory Disease (including asthma, chronic obstructive pulmonary disease (COPD), and other chronic lung disorders)
AND Take at least 8 (eight) covered Part D medications, AND
Are likely to have medication costs of covered Part D medications greater than or equal to $1,623 per year.
To help reduce the risk of possible medication problems, the MTM program offers two types of clinical review of your medications:
Targeted Medication Review: at least quarterly, we will review all your prescription medications and contact you and/or your doctor if we detect a potential problem.
Comprehensive Medication Review: at least once per year, we offer a free discussion and review of all of your medications by a pharmacist or other health professional to help you use your medications safely. This review, or CMR, is provided to you confidentially on behalf of Solis Health Plans and Aprexis and will be provided via telephone or in-person at the assigned pharmacy.
The review requires about 30 minutes of your time. Following the review, you will get a written summary of the discussion, which you can take with you when you talk with your doctors. This summary includes:
Medication Action Plan (MAP): The action plan has steps you should take to help you get the best results from your medications. To obtain a blank copy of the Medication Action Plan (MAP) to help you get the best results from your medications.
Personal Medication List (PML): The medication list will help you keep track of your medications and how to use them the right way. To obtain a blank copy of the Personal Medication List (PML) that can help you and your health care providers keep track of the medications you are taking.
Learn more about the Solis MTM Program powered by Aprexis.
If you take many medications for more than one chronic health condition, contact your drug plan to see if you’re eligible for MTM. If you know that you qualify for the MTM Program and would like to get started, call the Solis MTM Program at 1-866-793-1690 (available 24/7) to schedule your first consult. For Spanish interpretation, call 1-877-253-7244 and request to be connected to 1-866-793-1690. TTY users can reach our program team through the National Relay Service at 711 from a TTY device.
Safe Disposal of Medications
Solis Health Plans MTM Program is dedicated to providing you with information about safe medication disposal. Medications that are safe for you may not be safe for someone else. Unneeded medications should be disposed of as soon as possible. You can discard your unneeded medications through a local safe disposal program or at home for some medications.
Locating a community safe drug disposal site.
A drug collection site is the best way to safely dispose of medications. To find drug collection sites near you.
Some pharmacies and police stations offer on-site drop-off boxes, mail-back programs, and other ways for safe disposal. Call your pharmacy or local police department (non-emergency number) for disposal options near you.
Safe at-home medication disposal
You can safely dispose of many medications through the trash or by flushing them down the toilet.
Follow these steps for medication disposal in the trash
Remove medication labels to protect your personal information.
Mix medications with undesirable substances, such as dirt or used coffee grounds.
Place mixture in a sealed container, such as an empty margarine tub.
