FREQUENTLY ASKED QUESTIONS
What is a specialty pharmacy?
A specialty pharmacy fills prescriptions for specialty medications, which are often expensive and require special handling and expert knowledge from healthcare providers. Specialty medications are used to treat complex, life-threatening, or rare conditions.
Additionally, specialty pharmacies offer a number of personalized services to assist you based on your medical needs. For example, specialty pharmacists provide education about specific conditions, as well as how to take your medications, manage your symptoms, and avoid complications with your medications.
Our team also works closely with your healthcare provider and your prescription insurance company to be sure you have access to the right drug, ensure your medication is covered by your insurance plan, and obtain financial assistance, if available, to reduce the costs of your medication.
Allied Health Solutions Specialty Pharmacy offers services for conditions like: ankylosing spondylitis, cancer, crohn’s disease and ulcerative colitis, cystic fibrosis, growth hormone deficiency, blood disorders, hepatitis C, HIV, hyperlipidemia, multiple sclerosis, osteoporosis, psoriasis, psoriatic arthritis, respiratory syncytial virus, and rheumatoid arthritis.
Why is my medication considered a specialty medication?
Specialty medications are often expensive and require special handling and expert knowledge from healthcare providers. Specialty medications are used to treat complex, life-threatening, or rare conditions and usually cannot be dispensed from a community pharmacy. Common characteristics of specialty medications include the following:
- High cost
- Infusion or injection based
- Requires special handling and storage (e.g., refrigeration)
- Used for treatment of complex or rare conditions
- Must be given by a healthcare provider
- Requires strict monitoring by a healthcare provider
What kind of services does Allied Health Solutions Specialty Pharmacy provide?
Allied Health Solutions Specialty Pharmacy provides a variety of services in addition to filling your specialty medications. Our team of clinical pharmacists has experience with complex conditions and works to provide services to help monitor your therapy, manage side effects, and provide education about your medications. Other services we provide include:
- Coordination of the insurance approval process
- Evaluation of eligibility for financial assistance to reduce medication costs
- Constant communication with your healthcare provider
- Verbal and/or written education about medications and medical conditions by clinically trained pharmacists
- Training for self-administration of injectable medications
- Enrollment in the Patient Management Program
- Free delivery for all medications and supplies
- Monthly phone calls to discuss any questions about your medication
- Monthly refill reminders
- Pharmacists available or on call 24 hours a day, seven days a week to answer any questions
How do I contact Allied Health Solutions Specialty Pharmacy?
A member of our team will be happy to help answer your questions about order status, benefits and copay information, and complaint resolution.
A clinical pharmacist is available 24 hours a day, seven days a week to answer any questions you may have. Pharmacists are available for emergency and clinical situations (side effects, adverse reactions), complaint resolution, order status inquiry, and benefit/copay information.
Monday – Friday: 8 am – 6 pm
Saturday and Sunday: Closed
3040 University Ave, Suite 1400,
Morgantown, WV 26506
How will I know if my drugs are covered by insurance?
Specialty medications often require a prior authorization through your insurance provider. This means the insurance company requires documentation of your condition before it will cover a high-cost medication.
An Allied Health Solutions team member will immediately let you know if there are any issues that may delay fulfillment, such as prior authorizations or quantity limits imposed by your insurance company.
Allied Health Solutions will work with you, your healthcare provider, and your insurance company to complete this process. Our team will work to complete any prior authorizations as quickly as possible.
Once we receive notification from your insurance company, we will inform you and your healthcare provider of the results of this process. Because drug pricing and benefits coverage can change on a daily basis, a final determination of your coverage and co-pay cost cannot be made until your claim is processed.
You may also call the member services phone number on your prescription insurance card to get the most current information from your insurance provider. If you have Medicare Part D drug coverage, the cost of your prescription will change significantly as you meet your deductible and initial co-pay, progress through the “donut hole,” and reach total out-of-pocket expense.
Patient Care Coordinators can assist you in determining and understanding your options.
What if my prescription insurance does not cover my medication?
Our team will contact you if your insurance company denies coverage of your medication. We will inform you and your physician about potential options to cover part or full cost of your medication:
- Patient assistance programs available through manufacturer (e.g., co-pay cards, coupons), financial assistance foundations, and local non-profit organizations associated with the disease state. Our team will help you enroll in financial assistance programs, when available.
- Utilizing a pharmacy within the insurance company’s preferred network.
- Contacting the physician regarding alternative therapies that are covered by the insurance company, if applicable.
How do I fill a specialty medication prescription at Allied Health Solutions Specialty Pharmacy for the first time?
Generally, your doctor will contact Allied Health Solutions Specialty Pharmacy and fax or e-prescribe a new prescription. You may also drop off a paper prescription at our Morgantown, West Virginia location.
Once we receive a prescription, our team will contact you to gather insurance information and potentially schedule pickup or delivery.
An Allied Health Solutions Specialty Pharmacy employee will let you know if our pharmacy is unable to fulfill the prescription. Suggestions and guidance on where the medication may be available will be given upon request.
Your prescription may be substituted with a generic equivalent based on state law, equivalency rating, and in accordance with company policy.
Please ask a pharmacist if you have any questions or concerns.
How can I transfer my current specialty prescriptions to Allied Health Solutions Specialty Pharmacy?
How do I refill my specialty medications?
Approximately one week before your next refill is due, one of our team members will contact you via telephone. He or she will also ask you a few questions to see how you are feeling and note any changes to your medications or allergies.
Please have your prescription numbers ready when you place your refill order.
How do I receive my specialty medications from Allied Health Solutions Specialty Pharmacy? Do I pick up my prescription in person like I do at a regular community pharmacy?
Each month, approximately a week before your refill is due, our team will reach out to you by phone to see how you are feeling and set up your next specialty medication refill.
We offer free delivery services using experienced couriers, as well as carriers, such as FedEx and UPS, to ensure your medications are shipped appropriately.
Prescriptions are shipped Monday through Friday. We deliver to the most convenient location for you, whether it is your home, workplace, or another location. We also have a physical location in Morgantown, West Virginia just like a regular retail pharmacy where you may pick up your prescription.
Do I have to sign for my prescription when it is delivered?
Yes. Before shipping any order (new or refill) a member of our team will contact you via telephone to agree on a date, time, and location for delivery that is convenient for you, so you can easily receive your medication on time.
How can I pay for my specialty prescriptions?
Once Allied Health Solutions Specialty Pharmacy has fully processed your prescription, a member of our team will notify you of your co-pay.
We will be happy to answer questions related to the cost of your prescription, including your co-payment, co-insurance, deductible, etc.
We accept Visa, MasterCard, Discover, and American Express. Cash will be accepted if you visit our pharmacy in Morgantown, West Virginia, but please do not mail cash.
Some patients may qualify for financial assistance to help reduce their out-of-pocket cost for specialty medications. Our team can also assist with this process.
What should I do if my insurance changes?
Our team will communicate with your insurance company to determine if your specialty medication is covered and if a new prior authorization is needed.
Please keep in mind that this process can take as long as 30 days, so it is important to contact us as soon as possible to avoid delays in getting your medication.
If your medication is not covered by your new insurance company, our team will work with your healthcare provider and insurance company to evaluate options, such as alternate medications or financial assistance programs to cover part or full cost of your medication.
If your new insurance requires that you use a pharmacy within its preferred network, our team will coordinate the transfer of your prescription to a preferred pharmacy while keeping you and your provider informed.
What is the Patient Management Program?
The Patient Management Program is included at no cost to you, and you are automatically enrolled as a patient of Allied Health Solutions Specialty Pharmacy. You may opt out at any time.
Clinical pharmacists will work with you on any problems, concerns, or questions you may have regarding your medication therapy. Topics discussed may include disease overview, medications, dosing, drug or food interactions, side effects, and coordination of care with your physician, when appropriate.
The potential benefits of this program include side-effect management, medication and disease-state education, increased medication compliance, and improved overall health.
Also, when coordination of care with your physician is necessary, your pharmacist will have all the information needed to help make informed decisions regarding what is best for you.
The potential limitations of this program are dependent on you as the patient. You must follow the directions of your physician and pharmacist, comply with your medication instructions, and be willing to discuss the details of your disease, medical history, and current practices with your pharmacist, so he/she can have a full understanding of the situation.
Please let your physician know you are a patient of Allied Health Solutions Specialty Pharmacy and are enrolled in the Patient Management Program. A good relationship between your physician and your pharmacist will benefit everyone involved in your care.
How do I properly dispose of my medications?
It’s important to properly dispose of unused or expired medications to prevent accidental ingestion or misuse of medications.
For the most up-to-date recommendations for how to properly dispose of expired or unused medications, please visit the following website: http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm
If your medication is not on this list, please see the handout included in your welcome packet on how to properly dispose of your unwanted or expired medications.
You will be notified by an Allied Health Solutions Specialty Pharmacy employee if there is a recall on your medication and given instructions on what to do.
What is your complaint process?
Allied Health Solutions Specialty Pharmacy is committed to providing the highest quality of care for our patients. If you have any concerns or would like to file a complaint about the service you are receiving, please contact Allied Health Solutions Specialty Pharmacy.