[epicproviders] Effective 6/02/2025: Specialty Pharmacy Care Coordination Updates

[Epic - All Provider Staff]

Ambulatory Providers

Effective June 02, 2025: As part of the Specialty Pharmacy's ongoing care coordination efforts, the Specialty Pharmacy will now review specific medication orders (details in the Tip Sheet link below).  While all the specialty medications listed typically require a prior authorization, the goal of this outreach through proactive pharmacy benefits review is to minimize the number of phone calls to clinics from outside pharmacies and/or patients when medications cannot be filled or obtained from that pharmacy.

This feature will allow upfront pharmacy benefits review and investigation, ensuring that the medication is going to a patient preferred in-network specialty pharmacy.  This also has the potential for medication financial assistance to be applied sooner, based on patient need and as applicable.

To review more details including which medication groupers are in scope, CLICK HERE.<https://www.upstate.edu/training/intra/epic/documents/specialty_medication_care_coordination_updates_march_2025.pdf >


Thank you,

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