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  • 1. What is Specialty Pharmacy...?

    • Pharmacy that specializes in dispensing certain higher cost and complex medicines
    • Pharmacy that specializes in a wide range of services designed to aid patients with costly and complex medicines
    • We can provide education about specific conditions and how to manage your symptoms and avoid complications through medication
    • Our team works with your doctor(s) and insurance company to enable access to specialized medications for you if possible
    • We can provide help to discover if financial assistance is available that may reduce your costs for these medications
  • 2. Why do I need Specialty Pharmacy...?

    • Complex and costly usually require special handling and storage
    • These medications may not be available at your regular outpatient pharmacy
    • These medications may need to be administered alternatively
    • These medications often have side-effects that require close monitoring and follow-up by Specialty Pharmacy staff
    • PMC (Pikeville Medical Center) Specialty Pharmacy can provide specialty pharmacy service(s) while supporting customer service and clinical support to both patients and caregivers
  • 3. Why choose PMC (Pikeville Medical Center) Specialty Pharmacy?

    • We know these conditions can take a toll on patients both physically and emotionally. That is why we supply support that can help address these issues. We also keep the highest standards of quality and patient safety, so that you can feel confident taking any medication you receive from our pharmacy.
    • We do much more than just fill your prescriptions:
      • Financial and billing help to keep your drug costs as low as possible
      • Support throughout the insurance approval process
      • Rapid access to your medications
      • Counseling and educational information
      • Monthly wellness checks with a review of any questions or concerns you may have about your medication
      • Prescription refill reminders
      • Pharmacists available 24 hours a day, seven days a week to speak with you

       

  • 4. How can I contact PMC Specialty?

    • 1-888-PMC-KYRX (762-5979)
    • 9am – 5pm Monday through Friday
      • After-Hours your call will be directed to the outpatient pharmacy for any questions

       

    • SpecialtyPharmacy@pikevillehospital.org –> verify this email
    • Ask to speak to a SpRx employee when you come to the pharmacy
  • 5. Can I fill a prescription or refill just like any other medication?

       

    • Initial filling of prescriptions may take a bit more coordination, but our team will handle this process for you.
    • Refills may be obtained by calling the Specialty Pharmacy anytime during regular business hours (9am – 5pm, Monday through Friday), or by using the refill app (link to refill app: RxLocal – ???)
      • Our team will call you with reminders for refills, and to verify information such as current address information, and when to ship (if necessary) your medication.
    • Use app to refill SPRx medications…?? [BC1]
  • 6. Can I return my prescription?

    • Most prescription medications cannot be returned to the pharmacy. Please call us and we can tell you if your medication can be returned and credited. Also, if you suspect your medication is defective, please call us and we will see if a new medication can be sent to you.
  • 7. Need to order refills?

    • Please call 1-888-PMC-KYRX (762-5979), Monday through Friday from 9am to 5pm for assistance
    • Utilize our mobile and online refill generator, (RxLocal – links)
    • A member of our team will contact you between refills to check on your progress and determine pickup and/or shipping needs
  • 8. Will my insurance let PMC Pharmacy dispense my medication?

    • PMC Specialty Pharmacy is in network with most companies
    • If another pharmacy is needed, we will coordinate the transfer of your prescription to the preferred pharmacy, and let you know the new pharmacy contact information.
  • 9. What will my meds cost? How will I know if my insurance covers?

    • Our team will work with your insurance to keep as low as possible
    • We will notify you of your copay after we have processed your prescription
    • Our team will coordinate this by working with your provider and insurance company
    • Copays will vary depending on your insurance, and what financial programs you may qualify for
  • 10. What if I am out of network with PMC Specialty Pharmacy?

    • If your prescription cannot be filled by PMC Specialty Pharmacy, our team will coordinate the transfer of your prescription to the preferred pharmacy
  • 11. What if my insurance does not cover my medication?

    • Our team works with your provider and insurance to obtain coverage
    • If denied, your provider may discuss alternative options with you
  • 12. Can I still get access to my medication even if I am denied by my insurance? What if I have no insurance?

    • Some companies offer free-trial programs (Free Drug Program)
    • If available, our team will assist you with enrolling and requirements
    • All patients will be evaluated independently for these options
  • 13. What if I cannot afford my medications?

    • Some patients are eligible for financial assistance programs or payment assistance through charities
    • Our team will evaluate each patient individually to assess meeting guidelines for programs
    • Our team will help you with in enrolling and completing necessary paperwork required for programs if you are considered eligible
  • 14. Will PMC Specialty Pharmacy make Substitutions?

    • Sometimes: If an insurance company requires brand/generic substitution
    • Sometimes: If this substitution helps reduce your copay
    • If/when substitutions are made, a member of our team will discuss this with you and answer any questions that you may have concerning the substitution
  • 15. When will PMC Specialty Pharmacy contact me...?

    • To confirm initial status of your prescription, copay, etc.
    • To verify prescription processing information
    • To obtain/verify insurance information
    • To provide counseling on medications
    • To set up refills
    • To verify mailing and shipping addresses
    • To set up delivery and confirmation of delivery
    • To notify you of any necessary information about your specialty medication
    • To obtain documentation of your income to enroll you in a financial assistance program
    • Tell you that the prescription must be transferred to another specialty pharmacy Notify you of any FDA recalls of your medication
    • A quick call from a friend to see how you are doing with your specialty medication therapy
  • 16. When to contact PMC Specialty Pharmacy...?

    • If your address, phone number, or insurance information changes
    • If you have questions about your prescription status
    • If you have questions about how to take your medicine
    • If you want more information about your treatment plan
    • If you suspect errors or delays in shipping
    • If you suspect your medication has been recalled by the FDA
    • If you need to re-schedule an appointment
    • If you have any questions or concerns about any aspect of your treatment or medications
    • You should also contact us with any other questions or concerns. Our staff is happy to assist you with your specialty pharmacy needs, including:
      • Working with another specialty pharmacy to get your medications delivered
      • Helping you get access to medications during an emergency or disaster
      • Providing you with tools to manage your therapy, including educational materials and consumer advocacy support

       

  • 17. Can PMC Specialty Pharmacy provide information and resources to ensure I have a positive outcome from my medication?

    • We can give you tools to help you manage your therapy, such as:
      • Educational materials about your medication and disease state
      • Administration guides
      • Adherence reminders
      • Medication counseling
      • Links to community support groups for your disease state

       

  • 18. What should I do if I have an adverse reaction to the medication?

    • In the event of a serious or life-threatening situation, you should immediately call 911 or have someone drive you to a local Emergency Room.
    • If you are experiencing adverse drug reactions or other non-emergency problems, you should contact the Pikeville Medical Center Specialty Pharmacy or your healthcare provider
  • 19. What will happen if my medication is recalled?

    • In the event that a medication is recalled, our pharmacy team will contact you to determine if we need to provide a new supply of medication, what actions you might need to take. If you may have received the recalled lot, we will also contact your doctor
  • 20. What should I do if I feel there is an error with my prescription?

    • If you feel there is an error in the medication you were dispensed, or there is an error on your label, please call us as soon as possible and we will work with you and your doctor to address the concern.
  • 21. How can I dispose of any unused or expired medications?

Pikeville Medical Center Outpatient Pharmacy
911 Bypass Rd., Building E
231 Hibbard Street (Use for GPS)
Pikeville, KY 41501

Phone: 1-888-PMCKYRX
1-888-762-5979