New Patient Information

 

Dear Patient:

 

Your Appalachian Specialty Pharmacy team is excited to welcome you and thank you for selecting us to be your specialty pharmacy provider.

 

Helping you live your best life is important to us. Below, you will find information about our operations, services, patient safety and other important patient information. Please take a few moments to read through this information and save this packet for future reference.

As an Appalachian Specialty Pharmacy patient, you will have access to local clinical expertise, creating local connections to you, your family and your physicians. We are here at home in the mountains, not over the phone or in the mail. You will have one-on-one direct contact with our pharmacists, where they will provide you with educational materials and listen to your concerns while developing a program tailored to you, so you can understand and follow your prescription guidelines.

Appalachian Specialty Pharmacy is open:

  • Monday – Friday, 8am to 5pm.

 

A licensed pharmacist is available on-call:

  • 24 hours a day, 7 days a week for your convenience.

Appalachian Specialty Pharmacy will be closed for the following Holidays:

  • New Year’s Day

  • Memorial Day

  • Independence Day

  • Labor Day

  • Thanksgiving and Friday after

  • The week of Christmas to allow our employees to spend time with their families

 

Our Services:

  • Caregiver Support

  • Compliance Monitoring

  • Comprehensive Medication Review

  • Co-Pay, Patient Assistance, and other Financial Assistance Programs

  • Medication Delivery

  • Medication Synchronization

  • Medication Therapy Management

  • Refill Reminders

  • Prior Authorizations

  • Vaccinations

Contact Information:

  • Local:        (828) 222-4269

  • Toll Free:    (888) 747-9533

  • Fax:          (828) 785-1437

  • Email:       pharmacy@appalachianrx.com

 

Receiving Your Medications and Pharmacy Service

 

How to fill a new prescription:

Appalachian Specialty will work closely with your provider when a new prescription is required. Usually, your prescriber will fax Appalachian Specialty Pharmacy a new copy of your prescription. You can also call us and request that we contact your prescriber to obtain a new prescription. We can also transfer your prescriptions from other pharmacies, including mail-order, to us.

How to order a refill:

 

A member of the Appalachian Specialty Pharmacy team will call you a week before your prescription is ready to be refilled. At that time the team member will speak to you about any issues or concerns you have about your medication. In some instances, you will be asked a series of questions regarding your medications and your health. This is to determine if the therapy is working correctly for you. During the call you and the team member will decide on a pick up or delivery day. You can also find a refill request page at www.appalachianrx.com for any non-specialty maintenance medications not requiring special attention. These requests must be sent a few days before you are out of those medications.

Delivery of your specialty medications:

Here at Appalachian Specialty Pharmacy we know some of our patients have difficulty getting to our location. Because of this, we offer delivery services for those not able to reach our office. Delivery will need to be scheduled a week before the medication is due to be refilled and can be done when a team member contacts you about refills. Medication can be delivered to your home or an approved alternate location.  In the event your medication must be refrigerated we will deliver it accordingly.

 

Patient’s Rights and Responsibilities

 

As our patient you have the right to:

  • Be fully informed in advance, in terms you can understand, of service to be provided, including those who provide care, expected frequency of visits, and any modification to your plan of care.

  • Receive available treatment or accommodations without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, military status, or other factor in accordance with applicable laws.

  • Be informed in advance, both orally and in writing, of:

    • the care/service being provided

    • the charges for care/service

    • payment expected from third parties

    • the terms of your prescription drug benefit coverage and charges for which    you are responsible.

  • Receive a copy of a reasonably clear and understandable itemized bill with an explanation of the charges explained upon request.

  • Be given, upon request, full information and necessary counseling on the availability of known financial resources for your care.

  • Receive information about the scope of services Appalachian Specialty Pharmacy and any limitations on those services.

  • Participate in the development and periodic revision of your plan of care.

  • Actively participate in the decisions surrounding your prescription treatment, including your right to decline treatment after the consequences of refusal are fully presented.

  • Be informed of your rights under state law to formulate your Advance Directives.

  • Have yourself and your personal property treated with respect, consideration, and recognition of your dignity and individuality.

  • Be able to identify, through name badge or introduction, all who are providing your care.

  • Be free from mistreatment, neglect, any form of abuse or injury, or misappropriation of your property.

  • Have confidentiality and privacy of all information in your patient record and assurance of Protected Health Information.

  • Have access to and/or request changes to your medical records,

  • Be advised of Appalachian Specialty Pharmacy’s policies regarding disclosure of your records.

  • Voice grievances/complaints regarding treatment/care or lack of respect for you or your property, and recommend changes in policies, employees, or care/service.

  • Have complaints investigated without restraint, interference, coercion, discrimination, or reprisal.

  • Report complaints to:

  • Choose an attending physician or other health care provider.

  • Receive appropriate care without discrimination in accordance with physician/other provider orders.

  • Be informed of any financial benefits to Appalachian Specialty Pharmacy when referred to another organization.

  • Be fully informed of your responsibilities as a patient.

 

As a patient participating in your treatment plan, we ask that you accept responsibility to:

  • Provide accurate and complete medical and contact information, including your medications, allergies, and other pertinent information or documents necessary for Appalachian Specialty Pharmacy to provide appropriate services.

  • Notify us of any changes in your information.

  • Notify your physician or treating provider of your participation in the services we provide.

  • Maintain any equipment we provide.

  • Notify us of any concerns you have about the care provided.

  • Communicate your understanding of your prescription treatment and ask questions of staff until you fully understand.

  • Follow the prescription treatment plan agreed upon by you and your physician or treating provider.

Release of Confidential Patient Information

This notice describes how your Protected Health Information (PHI) may be used and disclosed and how you can get access to this information. Please review it carefully.

Our Uses and Disclosures:

  • We typically use or share your health information to:

    • Treat you and share your information with other professionals who are treating you

    • Run our organization, improve your care, and contact you when necessary

    • Bill and get payment from health plans or other entities for your services

  • Help with public health and safety issues such as:

    •  Preventing disease

    •  Helping with product recalls

    •  Reporting adverse reactions to medications

    •  Reporting suspected abuse, neglect, or domestic violence

    •  Preventing or reducing a serious threat to anyone’s health or safety

    • Help with health research.

    • Comply with the law.

  • Respond to organ and tissue donation requests.

  • Share information with a coroner, medical examiner, or funeral director after death.

  • Address workers’ compensation, law enforcement, and other government requests.

  • Respond to lawsuits and legal actions.

 

Our Responsibilities:

  • We are required by law to maintain the privacy and security of your protected health information.

  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

  • We must follow the privacy practices described in this notice and give you a copy of it.

  • We will never use your information for marketing purposes or sale without your written permission.

  • We will not use or share your information other than as described here unless you tell us to do so in writing.

  • For more information:  www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

 

Changes to the Terms of this Notice

The terms of this notice may change, and the changes will apply to all information on file about you.

The new notice will be available upon request, in our pharmacy and on our web site.

 

Effective Date of this Notice: January 1, 2019

 

Appalachian Specialty Pharmacy, LLC

932 Hendersonville Road, Suite 106,

Asheville, North Carolina 28803

 

Standard Precautions and Patient Safety

 

Wash Hands according to the CDC guidelines:

  • Wash hands after using the bathroom, sneezing, blowing the nose, coughing, before eating, when visiting someone who is sick, or whenever hands are dirty.

  • Wash hands before and after each patient contact.

  • Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.

  • Lather your hands by rubbing them together with the soap. Be sure to lather the backs of your hands, between your fingers, and under your nails.

  • Scrub your hands for at least 20 seconds. (for a timer, hum the “Happy Birthday” song from beginning to end twice.)

  • Rinse your hands well under clean, running water.

  • Dry your hands using a clean towel or air dry and use a paper towel to turn off the faucet, then throw it away.

  • Remember - Keeping hands clean is the #1 way to prevent the spread of infection.

 

Use an Alcohol-based Hand Sanitizer containing at least 60 percent alcohol:

  • Use a sanitizer as the preferred method for decontaminating hands, before and after each patient contact except when hands are visibly soiled (e.g., dirt, blood, body fluids), in which case soap and water should be used.

  • Remember - Sanitizers can quickly reduce the number of germs on hands in some situations, but sanitizers do not eliminate all types of germs.

  • Apply the product to the palm of one hand.

  • Rub your hands together.

  • Rub the product over all surfaces of your hands and fingers until your hands are dry.

 

Disposal of Biomedical Waste

  • Never replace the caps back on needles

  • Throw away any used needle in a sharps disposal container immediately after use.

  • Always keep sharps containers away from children and pets.

  • Never dispose of needles in the regular trash, by flushing them down the toilet or by placing them in your regular household recycle bin.

  • There are several ways to get rid of a sharps disposal container. Check with your local waste collection services, local health department or search the Internet for safe sharps disposal programs available in your area.

  • For more information specific to your state: Visit the Coalition for Safe Community Needle Disposal’s (Safe Needle Disposal Web site) at https://safeneedledisposal.org/ to find information including:​

  • Types of sharps containers that can be used,

 

In Case of an Emergency call: 911         

Poison Control: (800) 222-1222

 

Frequently Asked Questions

What is a specialty pharmacy?

A specialty pharmacy is a pharmacy that focuses on patients with complicated medical conditions. Specialty patients have medications that require close monitoring and follow-up and are often very expensive. We help patients understand their conditions and their medications, including why they are taking them, how they work, and how to take them.  Patient education is key to following the prescribed treatment. 

What makes us different?

Many specialty medications are not available at typical retail pharmacies, which is why your prescriptions often end up in the mail-order system. These medicines are called limited distribution drugs. We have access to these drugs. We are local.  Our families live and work here. When we need to work with your doctors, we can get in touch with them and even go to their offices when necessary.  We can even come to you when you cannot come to us.  We take the time and tailor your plan of care specific to you, your life, and your doctor’s treatment plans. We want to find out what works best for you and do that.

 

Do I need to have a specialty pharmacy and a regular pharmacy?

No. As a patient with Appalachian Specialty Pharmacy, we want to make your life easier rather than more complicated. We are committed to taking care of all your pharmacy needs, including your regular medicines and those of your caregivers and family support team. Doctors and specialist often don’t see the whole picture of medicines you take.  Safety, effectiveness, and affordability are usually greatly improved when one pharmacist sees what is going on and can step in with doctors and insurance companies to help. 

 

Can I get all my medications filled with Appalachian Specialty Pharmacy?

We can fill all your prescriptions in most cases. In the event you have a medication that we cannot fill, we will find a pharmacy that can fill it and provide a warm hand-off of that prescription. We will follow that prescription to make sure it is filled and delivered to you when you need it. When we develop a care plan for you, we mean to really take care of you and not let you get lost in the system or go without proper care.

 

What is the policy on returning medications?

In most cases, sales of specialty medications are final. It is important to get it right the first time.  Our ability to work closely with you, your doctors, and your insurance company is what helps us get it right and avoid costly mistakes.

 

How do I dispose of unneeded/unused medication?

The best way to dispose of unused or unneeded medication is to find a local drug take-back program. We can guide you to the nearest facility to dispose of unused medication. In general, flushing medications is not an environmentally friendly means of medication disposal. For more information, please call us at (888) 747-9533.

 

If you need to dispose of medication at home, follow these steps:

  1. Mix medicines (do not crush tablets or capsules) with an unpalatable substance such as dirt, kitty litter, or used coffee grounds

  2. Place the mixture in a container such as a sealed plastic bag

  3. Throw the container in your household trash

  4. Scratch out all personal information on the prescription label of your empty pill bottle or empty medicine packaging to make it unreadable, then dispose of the container

What if I have questions about my medicine?

If you have any questions about your medicine or any aspect of your treatment, please call us at (828) 222-4269 or (888) 747-9533.  A pharmacist is on-call 24 hours a day.