11/24/2015

Office of Rural Health and Community Care Medication Access to Low Income Clients

Objectives • Discuss community resources for patients who do not have health insurance or qualify for Medicaid

Medication for Un-Insured • Medication Access and Review Program (MARP/Office of Rural Health and Community Care) • North Carolina MedAssist • Discount Pharmacy Prescriptions (i.e. the $4 prescriptions)

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Medication Access and Review Program (MARP) • MARP Provides access to Pharmaceutical Patient Assistance Programs in one location. • Each Pharmaceutical Manufacturer sets different qualification rules for patients. • Each Pharmaceutical Manufacturer has different forms to be completed.

MARP  Software developed to ease the administrative burden in obtaining free medications  Free software program for establishing and maintaining a PAP program  Free training and installation of MARP software  Free ongoing technical software support

Database of 3400+ medications from 147 pharmaceutical manufacturers Database

automates the process of searching for free or low cost medications determining patient eligibility completing applications, tracking requests and reorders maintains patient medication and medical history generates prescription bottle labels and prescriptions extensive pharmacological database for medication management patient information available in English and Spanish

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Prescription Assistance Programs Utilizing the Medication Access and Review Program (MARP) Software 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Ashe Medication Assist. Program (Ashe Memorial) New River Behavioral Health Appalachian Healthcare Project New River Behavioral Health Agape Community Health Center (aka Metropolitan) Roanoke Chowan CHC Cashie Medical Colrain Primary Bladen Free Clinic Bladen Free Clinic DOA Brunswick Senior Resources, Inc. New Hope Clinic ABCCM Medical Ministry Clinic Parkway Behavioral Health Western NC Community Health Services Good Samaritan Clinic, Inc. Cabarrus Community Health Center Community Free Clinic of Concord Daymark Recovery Services (Cabarrus) Northeast Medical Center Caldwell Senior Center Collettesville Medical Center Helping Hands Clinic, Inc. The Broad Street Clinic Catawba Valley Medical Center Greater Hickory Cooperative Christian Ministry Chatham Cares Community Pharmacy Cherokee County Health Department Chatuge Family Practice Columbus County Department of Aging Cumberland Health Watch (CCMAP) The Care Clinic Community Care Clinic of Dare (Frisco)

Ashe Ashe Avery Avery Beaufort Bertie Bertie Bertie Bladen Bladen Brunswick Brunswick Buncombe Buncombe Buncombe Burke Cabarrus/Concord Cabarrus Cabarrus Cabarrus Caldwell Caldwell Caldwell Carteret Catawba Catawba Chatham Cherokee Clay Columbus Cumberland Cumberland Dare

34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66

Community Care Clinic of Dare (Nags Head) Daymark Recovery Services (Davidson) Thomasville Medical Center Med-Aid Forsyth-Stokes-Davie A Storehouse for Jesus Goshen Medical (Faison) Goshen Medical (Beaulaville) Rose Hill Medical (formerly Duplin Medical) Gurley’s Pharmacy Freedom Hill CHC CenterPoint Human Services Community Care Center Crisis Control Ministry NC Baptist Hospital Franklin County Volunteers in Medicine Gaston Family Health Services Gaston Family Health Center (Highland) Community Care Clinic of Tyner Gates Medical Graham County Health Department (Cherokee) Stovall Medical Center Community Clinic of High Point GuilMED Scotland Neck Family Medical Center Betsy Johnson Regional Hospital Parkway Behavioral Health The Free Clinics of Henderson Hoke County Med. Assist. Program (Senior Svcs) Hyde County Health Department HealthNet Iredell Statesville Family Medical Westcare, Inc. Good Samaritan

Dare Davidson Davidson Davie Davie Duplin Duplin Duplin Durham Edgecombe Forsyth Forsyth Forsyth Forsyth Franklin Gaston Gaston Gates Gates Graham Granville Guilford Guilford Halifax Harnett Henderson Henderson Hoke Hyde Iredell Iredell Jackson Jackson

Prescription Assistance Programs Utilizing the Medication Access and Review Program (MARP) Software

67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Johnston County Mental Health Center Meds Program at Helping Hand Kinston Community Health Center Helping Hands Clinic, Inc. (Lincoln County) Angel Medical Center Community Care Clinic of Highlands-Cashiers, Inc. Hot Springs Health Martin Tyrrell Washington McDowell County Medication Assist. Program MedAssist of Mecklenburg MyMeds FirstHealth Cares Program - Troy FirstHealth Care Program – Southern Moore Moore Free Clinic Harvest Family Health New Hanover Community Health Center Cape Fear Valley Medical Community Care Clinic of Pasquotank Pender Adult Services Health Assist Saluda Medical Center Christians United Outreach Center Richmond County Health Department Lumberton Health Center Southeastern Regional Medical Center CenterPoint Human Services Community Prescription Assistance Program Rockingham county Prescription Assistance Community Care Clinic of Rowan County Daymark Recovery Services (Rowan) Rowan County Health Department Parkway Behavioral Health Rutherford Medication Assistance

Johnston Lee Lenoir Lincoln Macon Macon Madison Martin

McDowell Mecklenburg Mitchell Montgomery Moore Moore Nash New Hanover New Hanover Pasquotank Pender Pitt Polk Randolph Richmond Robeson Robeson Rockingham Rockingham Rockingham Rowan Rowan Rowan Rutherford Rutherford

100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126

Goshen Medical Sampson County PAP Scotland Community Health Center Daymark Recovery Services (Stanly) Surry County Senior Services Tri-County Health Resource Center Westcare, Inc. Martin Tyrrell Washington Columbia Medical Daymark Recovery Services (Union) Shepherd’s Care Urban Ministries Wake County Human Services - ATC Wake County Human Services – Mental Health Wake County Provider Network Warren County Free Clinic Martin Tyrrell Washington Appalachian Healthcare Project New River Behavioral Health The Hunger Coalition, Inc. Mount Olive Family Medicine Goshen Medical WATCH Boomer Medical Care Connection New River Behavioral Health Wilson Community Health Center

Non MARP sites:

Sampson Sampson Scotland Stanly Surry Surry Swain Tyrrell Tyrrell Union Wake Wake Wake Wake Wake Warren Washington Watauga Watauga Watauga Wayne Wayne Wayne Wilkes Wilkes Wilkes Wilson

Mission Health Quest Ala Map Transylvania

Grant Sites Non-MARP sites

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North Carolina MedAssist • In Mecklenburg County, NC MedAssist serves as a Community Pharmacy dispensing free prescription medication • All counties have access to mail order delivery from the Mecklenburg County site (prescriptions must be mailed to client or authorized pharmacy) • 20+ Sites around the State are “Points of Entry”, and qualifying clients can directly receive selected prescription medications free of charge

North Carolina MedAssist • • • •

http://www.medassist.org/ 704-536-1790 in Mecklenburg County 866-331-1348 outside of Mecklenburg Co. Available to all NC residents who are 200% of FPL or less, and who are not active in Medicare or Medicaid. • Drug Formulary

$4 Prescription Details • Target, Walmart/Sam’s, Kroger, Food Lion-$4 (30 day)/$10 (90 day) • Rite-Aid-$9 (30 day)/$16 (90 day) • Harris Teeter/CVS-$10 (90 day), requires a membership fee • Kerr/Walgreens-$12-$13 (90 days), requires a membership fee

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Ginny Klarman Manager, Community Health Programs Office of Rural Health and Community Care Department of Health and Human Services 311 Ashe Avenue, Raleigh NC 919-527-6440

•Questions?????

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