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  • Wells Specialty Pharmacy Gastroenterology Intake Form

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Ne # (Work) Phone # (Home) lb date Zip Email address(optional) DIAGNOSIS/MEDICAL INFORMATION (COMPLETE CLINICAL INFO BELOW OR ATTACH PATIENTS LABS) K51.90 Ulcerative Colitis K72.90 Hepatic Encephalopathy w/out coma K58 IBS-D K50.90 Crohn s Disease NOS K50.00 Crohn s small intestine K50.10 Crohn s large Severity type: mild moderate to severe fistulizing Has the patient had a NEGATIVE tuberculin skin test, or if positive, has treatment for latent TB been initiated prior to anti-TNF t.

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WHAT IS SPECIALTY PHARMACY ACCREDITATION? NCQA Specialty Pharmacy Accreditation is a comprehensive, standards-based program dedicated to quality improvement that evaluates a specialty pharmacy's ability to deliver patient-centered care.

Generally, these pharmacies take care of prescriptions from start to finish, monitor how you are managing your diagnosis and taking your medication, communicate with you or your caregiver often, and keep in touch with your doctor to make sure things are going smoothly.

A specialty pharmacy provides medications used to treat rare or complex health problems. Many times, these meds aren't used by many people, so a local pharmacy wouldn't keep them in stock. These medicines may also: Need special handling by the pharmacist and you (special storage or dosage instructions, for example)

While retail pharmacies may offer convenience, specialty pharmacies act as true partners in patient care. The highest-touch specialty pharmacies provide proactive outreach to patients, guiding them through their treatment — from sourcing financial assistance to providing ongoing clinical support.

Some of the top Specialty Pharmacies in the U.S. include: CVS Caremark. Accredo. Optum Rx. Walgreens Specialty Pharmacy (Alliance Rx) Humana Specialty Pharmacy. Prime Therapeutics (BC/BS)

Patient care services The key differentiator between specialty and traditional ambulatory pharmacy services is the patient care services provided after initial product fulfillment.

Along with being state-licensed and regulated, specialty pharmacies are accredited or in process of accreditation by independent third parties such as the Accreditation Commission for Health Care (ACHC), the Center for Pharmacy Practice Accreditation (CPPA), the Joint Commission and URAC Accreditation demonstrates ...

Achieving URAC's Specialty Pharmacy Accreditation demonstrates the highest value in delivering enhanced clinical services to payers, manufacturers and providers. Benefits of URAC accreditation include: Patient and provider satisfaction through gathering, monitoring and improving quality measures.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232