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Sat, 20 Jul 2024 09:44:23 +0000Co-Dependents Anonymous. Northern Ky. Central Office. AA meetings are held at multiple locations and throughout the week depending on the location. Bowling Green, rooms 208 & 209.
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Apprenticeship Training. Dates fluctuate call for schedule). Free transportation is provided to all participants within Warren County. This group meets Mondays from 5:30-7pm at the ALIVE Center. Chapter Five Mens Group. The Multiple Sclerosis Mutual Help Group: Contact Number: 270-535-9161.
Heart Disease / Procedure Support. For 24 Hour Addiction Help in Bowling Green, Kentucky Call 800-926-8143 ( Who Answers? ) Brown Baggers Group Bowling Green. Marissa Hesson, RN, certified diabetes educator, will lead the group. 600 Corvette Drive, Bowling Green, KY, 42101. For more information, call 270-202-9188. Breastfeeding Support. Aa meetings in northern ky. Lexington: (859) 252-8872. If you have any additional questions about addiction or treatment, feel free to call our toll-free hotline 24/7 (888)-459-5511. These meetings are at 1106 State Street at First Christian Church. EA - Emotions Anonymous. A support group for all types of eating disorders. For more information call 270-782-6900 ext203.
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Barren River Family Caregiver & Kentucky Caregiver Support Program. Where: Online Webinar. FEAST is a team of parents of children with food allergies, individuals with food allergies, and community professionals supportive of those affected by food allergies that provides education, information and support. Signatory Contractors. Rule 62 Young in AA. Meeting ID: 86944406413.
Call: 800-926-8143 Who Answers? South Warren County Support Group: Susan Tabor 1-270-842-3178. W 3rd St. - Maysville, KY 41056. Alcoholics anonymous bowling green ky. If you have any questions call Stephanie at 270-846-0972. Louisville Office Contact CAL! Meets the 2nd and 4th Mondays from 6:30 to 8:30 at Hillvue Heights Church for mothers with children from birth to Kindergarten. This is a non-profit group offering support and activities for stay-at-home moms and their children.
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There will be a brief program or topic of discussion followed by time for question and answers and exchange of ideas. Family Support Groups. South Central Kentucky Council of the Blind (SCKCB). A Kentucky Center of Veterans Affairs representative will be at the National Guard Armory on Morgantown Road from 9 a. to noon the third Wednesday of each month to assist veterans and/or their dependents regarding benefit claims. Na and aa meetings in bowling green ky. LBGTQI Support Group. Bowling Green, KY, 42101. This support group is open to families and caregivers who need additional support in caring for a loved one with Alzheimer's disease.
5:30-7:00 p. m. Family/Loved Ones. Membership Application. North Warren County Support Group: Kellie Jenkins 1-270-563-9886. The support group will take place in room 200C of Potter Hall. DA meets twice a week in Bowling Green, at two different locations: Tuesdays, from 6:20 to 7:30 p. at Broadway United Methodist Church (off Westen, 1323 Melrose Drive, Bowling Green). SKY Rehabilitation Hospital is pleased to announce a new education and support group for caregivers. Description: AWAKE is a support group for people who have a sleep-related breathing disorder. Family Enrichment Center also offers 12 week parenting classes and supervised visitation and mediation. Support Groups - Weekly and Monthly Meetings in Bowling Green, KY. 1st and 3rd Tuesdays. Contact Number: 270-796-8698. Website: A mid-sized, pending non-profit committed to providing high-quality, Global Awareness to help those in disadvantaged areas, underprivileged children and those at risk, especially the children, youth and adults who have experience some type of mental or physical trauma. Dr. Richard Dressler of WKU's Acquired Brain Injury Resource Program has a support group that meets the 2nd Monday of each month at the Suzanne Vitale Clinical Education complex at 104 14th Street in Bowling Green. Moms Club of Bowling Green. Louisville: (502) 368-2568-Office.
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Monroe County Support Group: Glenna Geralds. 502) 368-2568-Office. 's primary purpose, the following information is provided as it may be of interest to those in the recovery community. 1545 Scott St. - Covington, KY 41011. For enrollment or information, contact the Family Enrichment Center at 270-781-6714. Recovery from Behavior Health issues. The helpline is free, private, and confidential. Chemical Dependence. For more information contact Jennifer at 270-202-5324. Warren County Family Support Group – Will meet on the first Tuesday of the month, from 5:30-7:30 P. M. @ Hillvue Heights Church, 3219 Nashville Road, Bowling Green, KY. AA Meetings in Bowling Green KY | Alcoholics Anonymous Meetings Near me in Bowling Green KY. Group location is in the new part of the building. Ebony Network Connection (Located in Bowling Green, KY).Bowling Green Central Office. HUG will meet at 5:30 every second Thursday of each month at SKY Rehab 1300 Campbell Lane. They can also team with certified professionals to administer medication-assisted treatment. First Presbyterian Church. Groups meet at 441 Church Avenue (Family Enrichment Center) the last Thursday of each month 5:30 PM to 7:30 pm. Requirements: (Computer & Headset required). 3219 Nashville Road, Bowling Green, KY, 42101. Northern Kentucky Intergroup Council & General Assembly Meetings.
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Warren County Jail B Side. Take Off Pounds Sensibly will meet at 5 p. each Tuesday at 800 Center St. For more information, call Mrs. Don Crittenden. For more information, call Don Johnson, RN, at 796-6512. Into Action Bowling Green.
Sex-A-Holics Anonymous will meet at 5 p. each Sunday and at 7:30 p. each Friday at Seventh-day Adventist Church. Louisville - Lexington - Bowling Green, KY.
If the cost of your prescription is less than the co-pay, no co-pay will be charged. To view the prescription drug list, go to then scroll down and enter the name of your medications to determine which prescription drug tier it is in. In this case there is insufficient clinical evidence supporting the use of the medication for non-cancer purposes and prescribing such a medication could pose a serious safety risk for the patient. Phone: (855) 742-2054. An example of a situation in which more information would be needed in order to make sound, cost effective, clinical decisions would be for medications that are approved to treat more than one condition. Implementation of a well-designed, evidence-based prior authorization program optimizes patient outcomes by ensuring that patients receive the most appropriate medications while reducing waste, error and unnecessary prescription drug use and cost. Accredo is the specialty pharmacy arm of Express Scripts. If your health benefits include a prescription co-pay: A 30-day supply of your prescription is available at a retail store. If you experience an issue, call the Southern Scripts number (800-710-9341) on the front of your insurance card. Phone: (866) 205-5107. Drug list for medications that qualify for the Smart90 program. A 90-day supply is available through mail order. Get in touch with us. Hawaii Laborers' Health & Welfare Fund.
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Save Cash on Prescriptions by Understanding How Your Benefits Work. A step therapy approach to care requires the use of a clinically recognized first-line drug before approval of a more complex and often more expensive medication where the safety, effectiveness and value has not been well established, before a second-line drug is authorized. Step therapy requirements ensure that an established and cost-effective therapy is utilized prior to progressing to other therapies. The prior authorization process can be used to obtain this additional information. Prior authorization may also be referred to as "coverage determination, " as under Medicare Part D. Guidelines and administrative policies for prior authorization are developed by pharmacists and other qualified health professionals Each managed care organization develops guidelines and coverage criteria that are most appropriate for their specific patient population and makes its own decisions about how they are implemented and used. Tips to keep in mind Go to to locate an in-network pharmacy. Or fill out the form below, and we'll be in touch! A Transformative Pharmacy Benefit Management Solution. Mail order prescriptions delivered in private, secure packaging. On average, clients experience 30% savings* on high-cost brand/specialty drugs when enrolled in the Variable Copay™ Program, available exclusively via Southern Scripts.Southern Scripts Prior Auth Form Authorization Request
4 Formulary administration generally falls into one of two categories - open or closed. As no formulary can account for every unique patient need or therapeutic eventuality, formulary systems frequently employ prior authorizations. New: The Southern Scripts app has recently been upgraded with some new features. Contact Express Scripts for questions regarding drug orders, account information, and to refill prescriptions. Connect with your Trustmark sales executive or client manager to learn more. Look for the following images in your search to find the right pharmacy for you: The Human Resources Benefits Team is always here to answer your questions. Southern Scripts only charges an "administrative fee" to provide their service and don't apply any hidden fees like other PBMs.
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Lowest Net-Cost ApproachSouthern Scripts' robust clinical management program and high-performance drug formularies deliver the lowest net cost to protect plans from unnecessary expenses. Sign up for home delivery. This type of prior authorization requirement is appropriate for specialized medications that require a high level of expertise in prescribing and monitoring treatment. Utilization of this logic allows plans to manage the benefit without requiring unnecessary member or prescriber disruption. Most ulcers are healed within an eight-week duration of therapy; therefore, plans may limit the duration of treatment to minimize side effects and reduce inappropriate long-term use. A 90-day supply of maintenance medications may be filled at Walgreens for a similar price as mail order. Refill and renew prescriptions. The plan may require the prescriber to present evidence supporting the unapproved use or assign a pharmacist to conduct a medical literature review to search for evidence for that indication. Administration of Step Therapy: Another prior authorization approach is step therapy. An NSAID step therapy rule requires that a patient try a traditional, generic NSAID or provide documentation of a gastrointestinal condition prior to receiving approval to fill a prescription for the newer, more expensive branded product. Prior Authorization.
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Easy & Cost Effective. Maintenance drugs filled at a retail pharmacy (other than Walgreens) will include a $10 penalty after the second retail fill. Southern Scripts, 2022. Enter your information — be sure to have your member ID number ready — and create a login.Southern Script Prior Authorization Form
So, in the same way your medical plan provides for doctor's visits, your Express Scripts prescription plan provides an easy, cost-effective way to obtain the medication your doctor prescribes. Phone: (855) 865-4688. All-Inclusive Administration FeeNo additional fees for standard PBM services, such as prior authorizations, step therapy, and data reporting.
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Independent (local/community) and retail (national/regional) pharmacies. 4 Academy of Managed Care Pharmacy. And the good news is you can access both Express Scripts and Accredo from the Express Scripts mobile app. Customer Service: 800-552-6694Monday – Friday: 8 a. m. -8 turday: 11 a. A pharmacist would then evaluate the documentation to determine whether use of the prescribed drug for the indication provided is justifiable. Prior authorization guidelines may stipulate that only certain medical specialists may prescribe a given medication. The step therapy approach may utilize automated adjudication logic that reviews a patient's past prescription claims history to qualify a patient for coverage at the point-of-sale without requiring the prescriber to complete the administrative prior authorization review process. Prior authorization requires the prescriber to receive pre-approval for prescribing a particular drug in order for that medication to qualify for coverage under the terms of the pharmacy benefit plan. While this sophisticated "look-back logic" is often used for step therapy rules, it can be used for other types of prior authorization rules as well. A plan may limit drug benefit coverage to quantities that are consistent with FDA-approved durations or dosing. Express Scripts is your prescription benefit manager for the Village of Hoffman Estates' prescription drug programs. For some categories, health plans may limit the coverage of drugs to FDA-approved uses and require a prior authorization for off-label indications. Fax: (833) 774-9246.
Sample Letters Members May Receive Regarding Their Prescriptions: • Express Scripts Smart90 Program: If you take maintenance medications (long-term medications), be sure to obtain a 90-day/3-month supply from Walgreens or through Express Scripts home delivery to avoid paying the full cost of the prescription. Traditional NSAIDs are available in generic forms and offer an established option for treating pain and inflammation, but they can sometimes result in stomach irritation and side effects. If patients have the first-line drug in their claims history, they may automatically qualify for coverage of a second-line therapy without triggering a review for coverage. Requiring prior authorization in a drug benefit can effectively help avoid inappropriate drug use and promote the use of evidence-based drug therapy.
In addition, this type of logic may use other available patient data (e. g., age, gender, concomitant medications, diagnosis, and physician specialty) to qualify patients for coverage without the need for a prior authorization review. Southern Scrips applies an innovative PBM model that can help improve the member experience, lower cost, and enhance the quality of care. AMCP has more than 4, 800 members nationally who provide comprehensive coverage and services to the more than 200 million Americans served by managed care. The Academy of Managed Care Pharmacy's mission is to empower its members to serve society by using sound medication management principles and strategies to achieve positive patient outcomes.
Prior authorization (PA) is an essential tool that is used to ensure that drug benefits are administered as designed and that plan members receive the medication therapy that is safe, effective for their condition, and provides the greatest value. "Prior Authorization Programs: A Critical Review of the Literature. " A newer, more expensive branded NSAID also treats pain and inflammation, but may be a better option for patients who have experienced a gastrointestinal side effect with a traditional NSAID or who already have a gastrointestinal condition. Track prescriptions and home delivery refills. FirstChoice™ Pharmacy Network. Prior Authorization Addresses the Need for Additional Clinical Patient Information: The prior authorization process can address the need to obtain additional clinical patient information. If your doctor prescribes a specialty medication, that is covered, too. The co-insurance is 15% of the cost of the drug. If a non-generic drug is purchased when a generic is available, you will pay the difference in the cost of the non-generic drug over its generic equivalent. For example, online adjudication of prescription claims by prescription benefit management companies (PBMs) and health plans has resulted in an efficient process for administering the drug benefit, however necessary and pertinent information required for drug coverage decisions is not always available via the online adjudication system. 2 Administration of a prior authorization process must take into consideration the desired outcome for the patient, the design of the drug benefit, the value to the plan sponsor, and all statutory and regulatory requirements.
For specific questions about your coverage, call the phone number listed on your member card. We're ready to discuss your PA and full-service BPO needs. Prior Authorization Support Numbers. Under a closed formulary pharmacy benefit, the health plan or payer provides coverage at the point-of-sale only for those drugs listed on the formulary. Health plans, employers and government-sponsored health care programs are focusing their attention on optimizing patient outcomes through the use of medications that have established evidence of efficacy and safety, while providing the highest value. For example, to protect against cardiovascular disease, a patient may need significant reductions in LDL (bad) cholesterol levels that may not be achievable with a health plan's formulary drug and therefore a coverage exception for a high-potency non-formulary medication would be requested using the plan's exception process provided certain circumstances are met to ensure patient safety and appropriate utilization. More news and information about AMCP can be obtained on their website, at 1 Neil MacKinnon and Ritu Kumar. Blue Cross Blue Shield of Alabama. Check out this flyer. For example, proton pump inhibitors are effective in treating peptic ulcer disease.
The role of pharmacy benefit managers is to determine which medications are covered on the prescription drug list and work with pharmacies on dispensing the medications covered on your plan. Express Scripts is the largest independent manager of pharmacy benefits in the United States and one of the country's largest pharmacies, serving more than 85 million people! 2023 Excluded Medication List - NOT COVERED. Phone: (866) 689-0493. » Or you can visit Express Scripts online at to order prescription refills, check order status, locate participating retail pharmacies, find ways to save money on your medications through generics and mail order, and ask a pharmacist questions 24/7.