Program Playbook

Congrats! Your health center has decided to partner with Equiscript on providing your patients with a pharmacy option that is dedicated to improving patient health outcomes. We are excited to welcome you to our network of 340B covered entities and partner pharmacies.

Equiscript is a 340B pharmacy service management company. We work with 340B eligible covered entities across the United States to provide a home delivery pharmacy program for their patients that increase adherence rates while also generating new 340B savings for the health center.

Your Equiscript program is designed to target and serve high-risk, high-need patients that are not using an in-house or contract pharmacy. Equiscript reaches out to those patients and offers them home delivery of their medications. From there, Equiscript and its network of partner pharmacies, manage the patient's refills and continuing patient care.

For any questions regarding your Home Delivery Pharmacy program, please contact your Account Executive. You can find the names and contact information of your program’s representative in your 340B Central Portal. You can access it by clicking Client Log In in the top right corner of our website navigation menu or by going to www.equiscript.com/portal.

Thank you for your commitment to your patients and community. At Equiscript, it is our mission to improve access to healthcare in the communities we serve. We look forward to partnering with you on this endeavor.

What are the benefits of the Equiscript Home Delivery Pharmacy Program?

• Higher adherence rates, especially for patients on multiple maintenance medications. 92.5% of patients on the Equiscript program are adherent, which is significantly higher than the national average
• Patients receive regular, personalized care from one of our Patient Care Advocates by assisting with refills, appointments, prescription questions and concerns
• Assistance overcoming barriers to care: 30 days to pay copays, prior authorizations, appointment reminders, transportation, and other services
• Revenue generated through the program is returned to your health center and your community

What is my role in the Equiscript Program?

Prescription requests will be sent to your health center’s Equiscript Site Champion. They will then task you with submitting new prescriptions to the appropriate Equiscript partner pharmacy.

For prescription requests, Equiscript asks that providers send prescriptions to the specified pharmacy within 48 hours of receiving the request. It is important to the efficiency of your program to keep turnaround time within that range.

Providers can also refer patients to our program. To refer patients:

1. Complete the Home Delivery Pharmacy Referral Form 
2. Fax the form, the referred patient’s current medication list, and the patient demographics to 866.877.0899
3. ePrescribe the patient’s active medications to the specified Equiscript partner pharmacy
   
   

Note:  If the patient is referred but is needing prescriptions immediately, send a 30 day supply to their local pharmacy and the remaining refills to the Equiscript partner pharmacy.

Your Patients and the Equiscript Home Delivery Pharmacy Program

When your patients agree to sign up for the Equiscript home delivery pharmacy program, we send them their New Patient Membership Brochure. The brochure includes:

• What to Expect
• Next Steps
• Benefits
• New Pharmacy Info

Patients who choose this program get personalized service from a team of Patient Care Advocates. These are real people who call your patients regularly to make sure they have the medications they need when they need them. They also help patients work through barriers to insurance like needing Prior Authorizations or an appointment before a medication can be filled. This team will also notify your Client Success team of any patient care concerns.

 

PROVIDER RESOURCES

What are the benefits of the Equiscript Home Delivery Pharmacy Program?

• Higher adherence rates, especially for patients on maintenance medication. 92.5% of patients on the Equiscript program are adherent, which is significantly higher than the national average
• Patients receive regular, personalized care from one of our Patient Care Advocates assisting with refills, appointments, prescription questions and concerns
• Assistance overcoming barriers to care: 30 days to pay copays, transportation, and help with other issues
• Savings generated go back to your health center and your community

What is a Site Champion?

Equiscript Site Champions are the point person for your health center’s Home Delivery Pharmacy Program. Equiscript’s Client Success team will work closely with you to ensure the success of the program.

The leadership at the health centers choose their Site Champions as a point of contact between the Equiscript team, providers, and patients. They are super-organized, super-involved superstars who carry out the tasks necessary to make a successful program.

Site Champions have the ability to send prescriptions and are typically Medical Assistants, LPNs, or RNs.

What is my role in the Equiscript Program?

Site Champions and Program Champions are the most important contributors to making your Equiscript program a success!  Because you work directly with patients and providers at your health center, we want to support you in every way possible so that you know what patients have chosen the program, what steps are needed, and how your program is performing - both in terms of patient care and financially.

You and your Equiscript Account Executive will establish a process for ongoing support and communication. Your Account Executive will visit your health center periodically to work through systems and processes, inform you of any changes to the program, and build a strong and positive partnership.

The Site Champion is responsible for the following:

340B Central Portal

It will be your responsibility to log in and check the portal regularly. It is our recommendation that you log in to check for pending patients, at minimum, twice per week. Your Account Executive is always available to help you work through any issues you may have in doing this.

For prescription requests, we ask that prescriptions be sent within 48 hours of receiving the request. It is important to the efficiency of your program to keep turnaround time within that range.

How to Log In

• Go to www.equiscript.com/portal.
• Log in with the username and password you created when you first logged in. 
• If you have any problems, contact your Equiscript representative.

How to Check for Pending Patients

• Log into Equiscript 340B Central Portal to view pending patients.
• Click the Rx-### under the "Prescription Request Header Name" column to review additional patient information.
• Log into EMR and open patient chart.
• Change the patient's primary/preferred pharmacy in the EMR to the new pharmacy listed in the portal.
• Send/task provider for a new Rx, for all current active medications to the pharmacy.
• Double click to leave a comment in the "comments" section of the portal to notate prescription request status, for example "sent request to provider."

Refill Tab

• Click on the 'Refill' tab.
• Log into EMR and open patient chart.
• Review the requested refill.
• Use the drop-down to select the best option for the refill request.
• Send/task provider for the refill if the patient is eligible for a refill.
• Click save once you have selected the best option for the refill request. Once you refresh your screen, all requests will fall off of the list except for
• Request sent to Provider.

Refer a New Patient Tab

• Log into the 340B Portal www.equiscript.com/portal
• Click on the 'Refer a Patient' Tab.
• Log into your EMR system. Find the patient’s EMR ID #, sometimes called Account number, or Medical Record Number.
• Enter the number into the Health Center ID field and click 'Retrieve Patient'. The patient information will populate. Please be sure to review all information for accuracy.
  • If the fields are blank, it simply means our system does not have the patient, perhaps they are new to your organization, simply complete the fields and the record will be created!

Completing a New Patient Profile

• Fields with an (*) are required. Phone numbers and shipping addresses are vital for us to communicate with your patient!
• Authorized Patient Contact, if they do not have one, type in “needs one.” Use the same phone number for the APC. It is best practice to have an alternate contact if at all possible.
• For the Referral Information drop down selection, choose:
  • I have prescribed patient’s active medications. (Choose this option when you have sent in all active medications to the selected pharmacy.)
  • Patient has requested additional information about the new Home Delivery Program. Please call this patient to provide additional information. (Choose this option when the patient would like more information on the program before enrolling.)
• Select the requested pharmacy on the drop-down - this will only show pharmacies that are contracted with your organization through the Equiscript program.
• Ensure the patient’s insurance information is correct. Update or enter if needed. Click save insurance.
  • If the patient's insurance card contains pharmacy information like BIN/PCN and Group # information - that is helpful for us!
  • Click 'Save Insurance.'
• Now, Click 'Save Patient.'
• In your EMR system - change the patients preferred/primary pharmacy to the pharmacy selected in the referral process.
• E-prescribe the patient’s active medications to the specified Equiscript partner pharmacy or notify the patient’s provider to do so.
• **For Specialty Referrals, please ensure you send in the RX, Clinical Labs, Provider Notes and the patient’s insurance information to the Specialty Pharmacy.**

Equiscript will then process the referral with our pharmacy partners and/or contact the patient to provide additional information.

If Your Health Center Opts to Receive Faxes

• Once you receive a fax, open the patient chart in the EMR
• Change the pharmacy to the new pharmacy listed
• Send/task provider for new active maintenance medication to the pharmacy

To Refer Patients to the Home Delivery Pharmacy

• Complete the Home Delivery Pharmacy Referral Form
• Fax the form, the referred patient’s current medication list, and the patient demographics to 866.877.0899
• ePrescribe the patient’s active medications to the specified Equiscript partner pharmacy
  
  

Note:  If the patient is referred but is needing prescriptions immediately, send a 30 day supply to their local pharmacy and the remaining refills to the Equiscript partner pharmacy.

Your Patients and the Equiscript Home Delivery Pharmacy Program

When your patients agree to sign up for the Equiscript home delivery pharmacy program, we send them their New Patient Membership Brochure. The brochure includes:

• What to Expect
• Next Steps
• Benefits
• New Pharmacy Info

Patients who choose this program get personalized service from a team of Patient Care Advocates. These are real people who call your patients regularly to make sure they have the medications they need when they need them. They also help patients work through barriers to insurance like needing Prior Authorizations or an appointment before a medication can be filled. This team will also notify your Client Success team of any patient care concerns.

 

SITE CHAMPION RESOURCES

How the Equiscript Home Delivery Pharmacy Program Works

1. We work with your IT Department to pull information from your EMR.
2. We mine the data to find patients who would be a good fit for the program.
3. Once we have a list of patients who are a good fit for the program, we reach out to them to offer the home delivery service.
4. After the prescription is filled and the claim is paid, Equiscript gets back to work.
5. Equiscript sends monthly financial reports, showing the progress of the program, to the Covered Entity.
6. Covered Entity receives a quarterly check from Equiscript with proceeds from the program.

More On How It Works

Program Financials

You will have access to a financial packet from Equiscript each month. This will show your program’s net income for each month, and also includes details on individual claims. Savings generated from the program are paid to the health center quarterly in the quarter following the term in which a claim was reconciled.

The financials can be accessed by representatives at your organization that you designate. Many clients ask that their financial packets are sent to the CEO, CFO, COO, and/or Pharmacy Director but that is up to you to choose.

You can view your real-time financial, patient, claim, and inventory data in the financial section of your Equiscript 340B Central Portal.

If you have questions about your financial information or need to make changes to who receives this information, please contact your Equiscript Account Executive or Account Manager.

Ongoing Data Requirement

In order to maintain an accurate financial projection for your program, Equiscript requires that data is sent on the 1st and 15th of each month unless your health center utilizes an HL7 feed.

If you have questions regarding the data piece of your program, please contact your Equiscript Account Executive.

If you are an Equiscript client and would like to view the most up-to-date data requirement sheet, please visit www.equiscript.com/pdr. You will need a password to access the program data requirements file. If you don't know your password, please contact your Equiscript representative, call us at 877-568-4115, or email data@equiscript.com.

340B Central Portal

The 340B Central Portal is where Site Champions and/or Program Champions will work through prescription requests for patients that have signed up for the Home Delivery Pharmacy Program. It is also where the leadership team can view any financial information for their program. You can access it by clicking Client Log In in the top right corner of our website navigation menu or by going to www.equiscript.com/portal.

Equiscript recommends that your health center utilize the 340B Central Portal, rather than faxes to keep up with requests. It is the easiest and most efficient way to operate and maintain your program.

You are able to specify who has either clinical view or both clinical and financial view of your 340B Central portal. You can contact your Equiscript Account Executive if you need to update who has access to each view. The difference is determined by access to the following fields:

Financial View

• Rx Request
• Patient List
• Providers
• Claims List
• CE Contracts
• Purchase Orders
• Inventory Activity
• Inventory Balance Summary
• Adherence
• Financial Packet

Clinical View

• Rx Request
• Patient List

Implementation Resources